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

Mrs. Jennifer Ann Fackelman, OTR

Individual provider Pediatric Occupational Therapist · NPI 1861630972

Mrs. Jennifer Ann Fackelman, OTR is a Pediatric Occupational Therapist in Fairport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

42 Norbrook Rd
Fairport, NY 14450-8958
Phone: (585) 797-9366
Fax: (585) 486-1230
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 008637-1 (NY)

Record details

NPI number1861630972
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedJanuary 27, 2009
Last updated in NPPESJanuary 27, 2009

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