Individual provider Active NPI

Sheneil M Jones, OTR/L

  • Occupational Therapist
  • Knoxville, TN
National Provider Identifier
1053955658
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2838 Issued in TN
Practice address
214 Prosperity Dr
Knoxville, TN 37923-4702
Phone
(865) 406-7129
Fax
(865) 951-7273
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 2838 TN Primary

Addresses

Primary practice location

214 Prosperity Dr
Knoxville, TN 37923-4702

Mailing address

3243 Heritage Cir
Hendersonville, NC 28791-3553
Phone (828) 713-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924002839 TN Practitioner - Occupational Therapist in Private Practice 3870912819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Servant Rehabilitation IncGroup PAC ID 5395168629, 18 clinicians

Practice addresses (Care Compare)

200 Bus Terminal Rd
Oak Ridge, TN 37830-6928
Phone (828) 713-0560

8024 Gleason Dr
Knoxville, TN 37919-5586
Phone (828) 713-0560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2838TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Servant Rehabilitation, Inc. Occupational Therapist CurrentSince Aug 24, 2020 Accepting new patients

Locations

8024 Gleason Dr
Knoxville, TN 37919
Phone (828) 713-0560

214 Prosperity Dr
Knoxville, TN 37923
Phone (865) 240-0000

200 Bus Terminal Rd
Oak Ridge, TN 37830
Phone (828) 713-0560

Organizations & group practices 1

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1053955658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 HERITAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913553",
            "telephone_number": "828-713-0560",
            "fax_number": "865-951-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PROSPERITY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234702",
            "telephone_number": "865-406-7129",
            "fax_number": "865-951-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHENEIL",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "2838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.