Individual provider Active NPI

Jennifer McClune, OTR/L

  • Occupational Therapist
  • Richmond, VA
National Provider Identifier
1073941621
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119005883 Issued in VA
Practice address
13700 N Gayton Rd
Richmond, VA 23233-7017
Phone
(804) 364-6352
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 0119005883 VA Primary

Addresses

Primary practice location

13700 N Gayton Rd
Richmond, VA 23233-7017

Mailing address

3221 Woodcreek Dr
Charlottesville, VA 22911-6229

Other practice location 1

1600 Gordon Ave
Charlottesville, VA 22903-1918
Phone (434) 293-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151210002750 VA Practitioner - Occupational Therapist in Private Practice 4183925431 Reassigns benefits to 2 organizations
I20251216003223 DC Practitioner - Occupational Therapist in Private Practice 4183925431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

2030 Westmoreland St
Falls Church, VA 22043-1768
Phone (703) 237-4550

4435 N Pershing Dr
Arlington, VA 22203-2748
Phone (571) 800-8693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Sep 21, 2025 Accepting new patients
Martha Jefferson House Occupational Therapist CurrentSince Sep 18, 2023 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Sep 21, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Oct 6, 2025 Accepting new patients

Locations

5485 Westbard Ave
Bethesda, MD 20816
Phone (240) 283-7094

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

1600 Gordon Ave
Charlottesvle, VA 22903
Phone (434) 245-0372

Organizations & group practices 4

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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1073941621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 WOODCREEK DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229116229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 N GAYTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337017",
            "telephone_number": "804-364-6352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Gordon Ave",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229031918",
            "country_code": "US",
            "telephone_number": "434-293-6136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUNE",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.