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

Jackie A Padmore, OTR/L

Individual provider Occupational Therapist · NPI 1164650909

Jackie A Padmore, OTR/L is an Occupational Therapist in Mount Vernon, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

61 W Grand St Oc
Mount Vernon, NY 10552-2133
Phone: (914) 664-9558
Fax: (866) 352-6711
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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 010811-1 (NY)

Record details

NPI number1164650909
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 1, 2009
Last updated in NPPESJuly 1, 2009

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