IndividualActive
Jacklyn Iannitti, OTR/L
NPI 1043672595 · Occupational Therapist · Bayside, NY
Provider details
- NPI number
- 1043672595
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 020007 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3436 Bell Blvd
Bayside, NY 11361-2375
Phone: (917) 574-5415
Street-level locationGet directions
Mailing address
21343 35th Ave
Bayside, NY 11361-2372
Additional practice locations (1)
- 475 Northern Blvd Ste 19Great Neck, NY 11021-4802Phone: (516) 829-0030Fax: (516) 466-7723
Registry dates
- Enumerated
- 2016-03-23
- Last updated
- 2026-05-02
- Certified
- 2026-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.