Individual provider Active NPI

Jasmine Baugh, OTR/L

  • Gerontology Occupational Therapist
  • Louisville, KY
National Provider Identifier
1104287192
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
BOTOCT00217413 Issued in KY
Practice address
8021 Christian CT
Louisville, KY 40222-9050
Phone
(502) 425-2402
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 163770 KY
Gerontology Occupational Therapist 225XG0600X BOTOCT00217413 KY Primary

Addresses

Primary practice location

8021 Christian CT
Louisville, KY 40222-9050

Mailing address

1710 Colony CT
Louisville, KY 40216-2706
Phone (502) 821-9288

Other practice location 1

8021 Christian Ct
Louisville, KY 40222-9050
Phone (502) 398-9089

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

LicenseStateTypeSpecialty
163770KYMDOccupational Therapist
BOTOCT00217413KYMDGerontology Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1104287192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 COLONY CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402162706",
            "telephone_number": "502-821-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 CHRISTIAN CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402229050",
            "telephone_number": "502-425-2402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8021 Christian Ct",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402229050",
            "country_code": "US",
            "telephone_number": "502-398-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "163770",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "KY",
            "license": "BOTOCT00217413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.