Active NPI
JD the OT
- Occupational Therapist
- Land O Lakes, FL
National Provider Identifier
1104490002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
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, CLWT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Occupational Therapist
- Land O Lakes, FL
- NPI 1841565520
-
- Physical Therapist
- New Port Richey, FL
- NPI 1487023982
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.