Individual provider Active NPI

Jennifer B Hoffman, OTRL

  • Hand Occupational Therapist
  • St Peters, MO
National Provider Identifier
1154430817
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
005032 Issued in MO
Practice address
221 Spencer Rd
Suite D
St Peters, MO 63376
Phone
(636) 447-9911
Fax
(636) 477-9929
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 005032 MO Primary

Addresses

Primary practice location

221 Spencer Rd
Suite D
St Peters, MO 63376

Mailing address

932 Lindmark
Wentzville, MO 63385
Phone (636) 332-6686

Other identifiers 1

IdentifierTypeStateIssuer
217911511OtherMOMEDICARE AREA 99

Other names 1

  • Jennifer B Bunner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825001180 MO Practitioner - Occupational Therapist in Private Practice 8123092020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 clinicians

Practice addresses (Care Compare)

11330 Olive Blvd
Suite 130
Creve Coeur, MO 63141-7149
Phone (314) 896-2205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005032MOMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axes Physical Therapy, LLC CurrentSince Nov 26, 2018 Accepting new patients
Axes Physical Therapy, LLC CurrentSince Nov 26, 2018 Accepting new patients
Babar Enterprises LLC Past Accepting new patients

Locations

14081 Manchester Rd
Ballwin, MO 63011
Phone (636) 223-5700

647 Spirit Airpark West Dr
Ste 101
Chesterfield, MO 63005
Phone (636) 223-5700

11330 Olive Blvd
Ste 130
Creve Coeur, MO 63141
Phone (314) 896-2205

1155 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225

2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560

Interoperability endpoints

  • Direct secure messaging: jennifer.hoffman.p2@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1154430817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 LINDMARK",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "63385",
            "telephone_number": "636-332-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SPENCER RD",
            "address_2": "SUITE D",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-447-9911",
            "fax_number": "636-477-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "005032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE AREA 99",
            "identifier": "217911511",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BUNNER",
            "middle_name": "B",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.