Individual provider Active NPI

Jennifer C Higgins, M.ED., OTR

  • Occupational Therapist
  • Sun City Center, FL
National Provider Identifier
1073642963
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12393 Issued in FL
Practice address
129 S Pebble Beach Blvd
Suite 102
Sun City Center, FL 33573-5718
Phone
(813) 633-6800
Fax
(813) 633-6801
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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 OT12393 FL Primary

Addresses

Primary practice location

129 S Pebble Beach Blvd
Suite 102
Sun City Center, FL 33573-5718

Mailing address

3311 W Tyson Ave
Tampa, FL 33611-4315
Phone (813) 909-5219

Other identifiers 1

IdentifierTypeStateIssuer
891559800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
OT12393FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1073642963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 W TYSON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336114315",
            "telephone_number": "813-909-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S PEBBLE BEACH BLVD",
            "address_2": "SUITE 102",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735718",
            "telephone_number": "813-633-6800",
            "fax_number": "813-633-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "M.ED., OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891559800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.