Active NPI
Jennifer Waters, OTD, OTR/L
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1124487525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14963
- Practice address
- 1975 4TH Street, Box 4050
Rehab Services
San Francisco, CA 94158 - Phone
- (415) 514-4028
- NPI assigned
- Feb 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14963 | CA | Primary |
Addresses
Primary practice location
1975 4TH Street, Box 4050
Rehab Services
San Francisco, CA 94158
Mailing address
1975 4TH Street, Box 4050
Rehab Services
San Francisco, CA 94158
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14963 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1124487525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 4TH STREET, BOX 4050",
"address_2": "REHAB SERVICES",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 4TH STREET, BOX 4050",
"address_2": "REHAB SERVICES",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94158",
"telephone_number": "415-514-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.