Provider Demographics
NPI:1477866341
Name:RICH, JAYME LEWIN (MPA, OTR/L)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:LEWIN
Last Name:RICH
Suffix:
Gender:F
Credentials:MPA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 W 14TH ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7489
Mailing Address - Country:US
Mailing Address - Phone:212-414-2777
Mailing Address - Fax:212-414-2777
Practice Address - Street 1:39 W 14TH ST
Practice Address - Street 2:SUITE 307
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7489
Practice Address - Country:US
Practice Address - Phone:212-414-2777
Practice Address - Fax:212-414-2777
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002566-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics