Jennifer Stuckey, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14271 Issued in FL

Practice address

14421 Metropolis Ave
Suite 103
Fort Myers, FL 33912-4323

Phone

(239) 561-2778

Fax

(239) 561-8107

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1053769802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27290 HIGH SEAS LN",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354311",
            "telephone_number": "954-806-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14421 METROPOLIS AVE",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124323",
            "telephone_number": "239-561-2778",
            "fax_number": "239-561-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14271",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT14271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Struve, RD
• Stuart B. Krost M.D. P.a.
• Jeffrey Stuart, ULTRASOUND TECHNOLOG
• Lea Ann Stuart, MOT, OTR/L
• Rex E Stubbs, M.D.
• Trista Nicole Sturrup, LCSW
• Evan Stutchin, DO
• Lia Suarez Gomez
• Vivian Marie Suarez Gonzalez, MD
• Ana Suarez Malagon

• Occupational Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.