Jenna Marie Stewart, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

2700 Earl Rudder Fwy S Ste 1200
College Station, TX 77845-2810

Phone

(979) 307-5850

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Marie Rotenberger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Epic Health Services, Inc.

  dba Aveanna Heatlhcare

  • Home Health Agency
  • Houston, TX
  • NPI 1407922701
  NPD (past)
• Epic Health Services, Inc.

  dba Aveanna Healthcare

  • Home Health Agency
  • Austin, TX
  • NPI 1518298801
  NPD (past)

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1023586740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 COPPERFIELD DR APT 1312",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025893",
            "telephone_number": "602-628-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EARL RUDDER FWY S STE 1200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452810",
            "telephone_number": "979-307-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "ROTENBERGER",
            "middle_name": "MARIE",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven a Williams DDS PA (Williams Family Dentistry)
• Cole Stevens, BS
• Zachary Lloyd Stevenson, M.D.
• Emily Gay Little Stewart, M.D.
• Hayden Stewart, PT
• Jeremy Ray Stewart, DDS, MSD
• Natalie Stewart
• Tiffany M Stewart, LPC
• Zachary Isaac Stewart, M.D.
• Taylyn Still

• Occupational Therapy Assistant in College Station, TX
• Providers in College Station, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.