J Gendeman LLC

Primary specialty

Low Vision Occupational TherapistTaxonomy code 225XL0004X

Legal business name

J GENDEMAN LLC

Practice address

3309 Wellingmoor Ave
Louisville, KY 40218-1028

Phone

(630) 712-7167

NPI assigned

Mar 21, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Gendeman, OTD, OTR/L, SCLV

Title

Owner

Phone

(630) 712-7167

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1013477595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 WELLINGMOOR AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 WELLINGMOOR AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181028",
            "telephone_number": "630-712-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J GENDEMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "GENDEMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-712-7167",
        "authorized_official_credential": "OTD, OTR/L, SCLV"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.