Jellybean Pediatric Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

JELLYBEAN PEDIATRIC THERAPY

Practice address

1716 Catherine CT Ste 2a
Auburn, AL 36830-5735

Phone

(334) 610-0169

Fax

(334) 591-2678

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Bowen

Title

Office Manager

Phone

(615) 400-2777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1174301857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 DINGO DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368044507",
            "telephone_number": "615-400-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 CATHERINE CT STE 2A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305735",
            "telephone_number": "334-610-0169",
            "fax_number": "334-591-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELLYBEAN PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-400-2777"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillain Alyce Jacobs
• Carly Jacoby
• James J. Phillips, Jr., D.M.D., P.C.
• Loretta D. James, O.D.
• JDSM Enterprises LLC
• Golden K Jenkins, M.DIV., M.ED, LPC
• Morgan Jenkins, PHD, LPC, NCC
• Corina Jimenez-Gomez, PH.D., BCBA-D, LBA
• Jacob Jinks
• John M Hudon, DMD, MHS, PC

• Pediatric Occupational Therapist in Auburn, AL
• Providers in Auburn, AL by specialty
• Pediatric Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.