Active NPI
Jeannette A Harris, OTR
- Occupational Therapist
- Merritt Island, FL
National Provider Identifier
1073837696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 706
- Practice address
- 8584 Eden Isles Lane
Merritt Island, FL 32952-6800 - Phone
- (321) 795-6007
- Fax
- (877) 787-5595
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 706 | FL | Primary |
Addresses
Primary practice location
8584 Eden Isles Lane
Merritt Island, FL 32952-6800
Mailing address
8584 Eden Isles LN
Merritt Island, FL 32952-6800
Phone (321) 795-6007
Other names 1
- Jeannette A Hutchinson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 706 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTS Staffing LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Merritt Island, FL
- NPI 1205037793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1073837696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8584 EDEN ISLES LN",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329526800",
"telephone_number": "321-795-6007",
"fax_number": "877-787-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8584 EDEN ISLES LANE",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329526800",
"telephone_number": "321-795-6007",
"fax_number": "877-787-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JEANNETTE",
"middle_name": "A",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNETTE",
"last_name": "HUTCHINSON",
"middle_name": "A",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Merritt Island, FL
- Hand in Hand Healthcare PLLC
- Hardik Patel DDS PA
- Catherine Hargreaves
- Latarsha Harp
- Harrigan Health and Wellness, LLC (Brevard Cosmetic Surgery Group)
- Amber K Hartnett, MSW, LCSW-QS, MCAP
- Rachel E Hathaway
- Healing Pointe Acupuncture LLC
- Healthy Healing Acupuncture and Herbal Center LLC
- Hearing Healthcare Solutions, Inc. (Audibel Hearling Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.