Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacklyn Marie Iannitti, OTR/L

Individual provider Occupational Therapist · NPI 1043672595

Jacklyn Marie Iannitti, OTR/L is an Occupational Therapist in Private Practice in Bayside, New York. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2016
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

3436 Bell Blvd
Bayside, NY 11361-2375
Phone: (917) 574-5415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Northern Blvd Ste 19, Great Neck, NY 11021-4802 — (516) 829-0030

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 020007 (NY)

Record details

NPI number1043672595
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESMay 2, 2026
Certification dateMay 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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