Organization Active NPI

JD the OT

  • Occupational Therapist
  • Land O Lakes, FL
National Provider Identifier
1104490002
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
JD THE OT
Practice address
17580 Nectar Flume Dr
Land O Lakes, FL 34638-5852
Phone
(727) 947-2128
NPI assigned
May 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Mr. Jarrett Jamal Dottin, OTR/L, MOT, CLWTNPI 1841565520
Title
MGR
Phone
(727) 947-2128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

17580 Nectar Flume Dr
Land O Lakes, FL 34638-5852

Mailing address

17580 Nectar Flume Dr
Land O Lakes, FL 34638-5852
Phone (727) 947-2128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210803002773 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092119743 Receives reassigned benefits from 2 practitioners
Practice locations: Land O Lakes, FL; Largo, FL

National Provider Directory

National Provider Directory

Locations

1679 Indian Rocks Rd S
Ste A
Largo, FL 33774
Phone (727) 222-3762

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1104490002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17580 NECTAR FLUME DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385852",
            "telephone_number": "727-947-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17580 NECTAR FLUME DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385852",
            "telephone_number": "727-947-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD THE OT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "DOTTIN",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "727-947-2128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, MOT, CLWT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.