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

Individual provider Occupational Therapist · NPI 1912539776

Miss. Jayme Petronchak, OTR/L is an Occupational Therapist in New York, New York. Licensed in New Jersey and New York. Registered with an NPI since 2020.

Licensed in
NJ, NY
In the registry since
2020
Specialties on file
2
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

171 Madison Ave
New York, NY 10016-5110
Phone: (212) 400-0383
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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 024322 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 46TR00736200 (NJ)

Record details

NPI number1912539776
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

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