Jennifer Connelly, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12975 Issued in CA

Practice address

3320 Data Dr Ste 400
Rancho Cordova, CA 95670-7341

Phone

(916) 564-5010

NPI assigned

Nov 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Total Education Solutions

  • Early Intervention Provider Agency
  • Rancho Cordova, CA
  • NPI 1841586757

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1104640598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 W RIALTO AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932770644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 DATA DR STE 400",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707341",
            "telephone_number": "916-564-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lyn Coleman, FNP
• Noemi Colmenares
• Communi T
• Communi T
• Evanne Conley
• Kailene Marie Contreras Jones
• Karina M Contreras
• Zachary Christian Contreras, RPH
• Edwin Cook, O.D.
• Brianna Jasmin Tabofunda Corona

• Occupational Therapist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.