BETH JORDAN OTD MSOTR NPI 1407091713

NPI Information

  • NPI: 1407091713
  • Provider Name: BETH JORDAN, OTD, MSOTR
  • Classification: Occupational Therapist - 225XP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 219 COUNTY ROUTE 57
    UNIT 20
    PHOENIX, NY
    ZIP 13135
  • Phone: (315) 934-4459

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NPI Details

Beth Jordan, OTD, MSOTR is a pediatrics occupational therapist in Phoenix, NY. The provider is occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. Beth Jordan, OTD, MSOTR NPI is 1407091713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

219 COUNTY ROUTE 57
UNIT 20
PHOENIX, NY
ZIP 13135-300
Phone: (315) 934-4459
Fax: (315) 934-4459

The enumeration date for this NPI number is 12/16/2008 and was last updated on 3/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225XP0200XOccupational TherapistPediatrics015186NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103426868MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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