Individual provider · Type 1 NPI

Stella N. Jack

Occupational Therapist · New York, NY

NPI number 1013854157 Active

Practice location

228 Park Ave S, Pmb 334254
New York, NY 10003-0103

Call (516) 988-4360 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013854157

Stella N. Jack's National Provider Identifier is 1013854157, issued on Apr 29, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New York, NY. The record was last updated on Apr 29, 2026.