Jennifer Michelle Fine, BS, MOT R//L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007252 Issued in GA

Practice address

70 Lindsey LN
Saint Marys, GA 31558

Phone

(912) 510-6104

Fax

(912) 882-6137

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Advance for Kids Inc

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1700075124

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1114370020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LINDSEY LN",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581635",
            "telephone_number": "912-510-6104",
            "fax_number": "912-882-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINDSEY LN",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-510-6104",
            "fax_number": "912-882-6137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Shepherdstown Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554276",
            "country_code": "US",
            "telephone_number": "717-516-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINE",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "BS, MOT R//L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC013633",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Matters of Coastal Georgia, Inc.
• Kenneth Fanning
• Shelbie Yvonne Farmer
• Adam Fazilat, CHPA
• Shanell Feldergoodman
• First Coast Emergency Services
• First Coast ENT
• Madison Flagg
• Shawn M Flores
• Florida Medical Geriatric Group

• Occupational Therapist in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.