Jenna Delaney, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057001333 Issued in IL

Practice address

1709 Jumer Dr Ste a
Bloomington, IL 61704-0914

Phone

(815) 822-8374

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1073363727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 E 1600 NORTH RD",
            "city": "FLANAGAN",
            "state": "IL",
            "postal_code": "617409147",
            "telephone_number": "815-822-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 JUMER DR STE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617040914",
            "telephone_number": "815-822-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "JENNA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057001333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Dean, PT
• James Stephen Decremer, LCPC
• Ibinabo Dede, MD
• Jacqueline Deffenbaugh, APN, WHNP
• Ronald Aurthur Degon, RSA, SA-C, CSA
• Mary K Dellorto, PSY.D.
• Lillian Delp
• Delta Sleep's Cpap Store
• Ashley Dempsey, MSN, APRN, FNP-C
• Jennifer E Dena

• Occupational Therapy Assistant in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.