Cassandra M Jennings

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010116 Issued in MI

Practice address

1900 Andrew Ave
La Porte, IN 46350-6337

Phone

(219) 362-7014

NPI assigned

Oct 18, 2018

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

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Western Michigan Un Homer Stryker School of Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tmi East IncGroup PAC ID 3274864665, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Tmi East, Inc.

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Services Mi LLC

  • Physical Therapist
  • Canton, MI
  • NPI 1790324648

  Occupational Therapist

  Medicare reassignment NPD
• Rise Therapy & Wellness LLC

  • Occupational Therapist
  • Richland, MI
  • NPI 1669086559
  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1124594924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 S 3RD ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ANDREW AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463506337",
            "telephone_number": "219-362-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Stateline Rd",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491204729",
            "country_code": "US",
            "telephone_number": "269-684-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "CASSANDRA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M. Vanes D.D.S. PC
• Savannah James
• Michael Joseph Jancovich, DO
• Susan Jaracz, RPH
• Jebs Anesthesia Consultants, LLC
• Ajoe John Kattoor, MBBS
• John M Swangim DPM PC
• Johnson Memorial Hospital
• Lisa Marie Jongkind, MSPT
• Jessica Jordan

• Occupational Therapist in La Porte, IN
• Providers in La Porte, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.