Active NPI
Jonathan L Chennault, MOT
- Occupational Therapist
- Columbus, OH
National Provider Identifier
1013260439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008106
- Practice address
- 1397 Broadview Ave
Apt 2
Columbus, OH 43212-2845 - Phone
- (614) 512-9879
- NPI assigned
- Oct 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT008106 | OH | Primary |
Addresses
Primary practice location
1397 Broadview Ave
Apt 2
Columbus, OH 43212-2845
Mailing address
1397 Broadview Ave
Apt 2
Columbus, OH 43212-2845
Phone (614) 512-9879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT008106 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1013260439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397 BROADVIEW AVE",
"address_2": "APT 2",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432122845",
"telephone_number": "614-512-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 BROADVIEW AVE",
"address_2": "APT 2",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432122845",
"telephone_number": "614-512-9879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENNAULT",
"first_name": "JONATHAN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-23",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT008106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.