Active NPI
Jennifer Lynn Brown, MOT
- Occupational Therapist
- Irvine, CA
National Provider Identifier
1164817771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13431
- Practice address
- 980 Roosevelt
Suite 100
Irvine, CA 92620-3672 - Phone
- (949) 333-6400
- NPI assigned
- Mar 31, 2015
- Last updated
- Mar 31, 2015
- 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 | 13431 | CA | Primary |
Addresses
Primary practice location
980 Roosevelt
Suite 100
Irvine, CA 92620-3672
Mailing address
105-461 West16Th Street
North Vancouver, BC V7M1V1
CA
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 |
|---|---|---|---|
| 13431 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy of Orange County | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Voluntary or Charitable Agency
- Santa Ana, CA
- NPI 1043458771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1164817771",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "105-461 WEST16TH STREET",
"city": "NORTH VANCOUVER",
"state": "BC",
"postal_code": "V7M1V1"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 ROOSEVELT",
"address_2": "SUITE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203672",
"telephone_number": "949-333-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "13431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.