Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Mae Mirvis

Individual provider Occupational Therapist · NPI 1083440028

Jessica Mae Mirvis is an Occupational Therapist in New York, New York. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

150 W 92nd St
New York, NY 10025-7516
Phone: (305) 725-7928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 026720 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence OT22934 (FL)

Record details

NPI number1083440028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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