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

MS. Jacqueline A Jim, OT/L

Individual provider Occupational Therapist · NPI 1417186123

MS. Jacqueline A Jim, OT/L is an Occupational Therapist in Private Practice in Baldwinsville, New York. Qualified in 1997, 29 years ago. Practices with Prn Physical, Occupational and Speech Therapy Network, PLLC, a 84-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

3205 Green Mdw
Baldwinsville, NY 13027
Phone: (315) 857-4481
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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 008281-1 (NY)

Record details

NPI number1417186123
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT/L
Sole proprietorYes
NPI enumeratedJuly 2, 2009
Last updated in NPPESAugust 6, 2018

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Prn Physical, Occupational And Speech Therapy Network, Pllc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Baldwinsville