Individual provider Active NPI

Jennifer Laffoon, OTR/L

  • Occupational Therapist
  • Hillsborough, NJ
National Provider Identifier
1033787346
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
225X00000X Issued in NJ
Practice address
56 Vliet Dr
Hillsborough, NJ 08844-2229
Phone
(908) 625-2809
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 225X00000X NJ Primary

Addresses

Primary practice location

56 Vliet Dr
Hillsborough, NJ 08844-2229

Mailing address

56 Vliet Dr
Hillsborough, NJ 08844-2229
Phone (908) 625-2809

Other names 1

  • Jennifer Mitchell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220711003375 DC Practitioner - Occupational Therapist in Private Practice 4385024181 Reassigns benefits to 1 organization
I20220711003625 MD Practitioner - Occupational Therapist in Private Practice 4385024181 Reassigns benefits to 1 organization
I20230718000020 NJ Practitioner - Occupational Therapist in Private Practice 4385024181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

309 Fries Mill Rd
Suite 17
Sewell, NJ 08080-9209
Phone (877) 407-3422

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225X00000XNJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Jul 1, 2023 Accepting new patients
Fox Rehab OT MD LLC Occupational Therapist CurrentSince Jun 1, 2022 Accepting new patients
Fox Rehabilitation Services LLC Occupational Therapist CurrentSince Jun 1, 2022 Accepting new patients

Locations

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

7 Carnegie Plz
Cherry Hill, NJ 08003

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1033787346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 VLIET DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088442229",
            "telephone_number": "908-625-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 VLIET DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088442229",
            "telephone_number": "908-625-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFOON",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "225X00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MITCHELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.