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

Jessenia Bravo

Individual provider Gerontology Occupational Therapist · NPI 1174006175

Jessenia Bravo is an Occupational Therapist in Private Practice in Hicksville, New York. Qualified in 2018, 8 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
4

Practice location Address checks out

111 W Old Country Rd
Hicksville, NY 11801-4036
Phone: (516) 433-4570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 104 Meister Blvd, Freeport, NY 11520-5919 — (917) 847-8697
  • 300 Hempstead Tpke Unit 3, West Hempstead, NY 11552-1448 — (516) 505-2200

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 022682-1 (NY)
Gerontology Occupational Therapist Taxonomy 225XG0600X · Licence 022682-1 (NY)
Neurorehabilitation Occupational Therapist Taxonomy 225XN1300X · Licence 022682-1 (NY)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X · Licence 022682-1 (NY)

Record details

NPI number1174006175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2018
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing address104 Meister Blvd, Freeport, NY 11520-5919

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare