Jem Pediatric Therapy, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3996 Issued in NC

Legal business name

JEM PEDIATRIC THERAPY, PLLC

Practice address

113 Bentpine Dr
Raleigh, NC 27603-5723

Phone

(919) 779-9361

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jill Mitchell, MS, OTR/LNPI 1518031780

Title

Owner/Occupational Therapist

Phone

(919) 779-9361

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Elaine Mitchell, OTR-L

  • Occupational Therapist
  • Raleigh, NC
  • NPI 1518031780
  NPD (past) Authorized official

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1174723456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BENTPINE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BENTPINE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035723",
            "telephone_number": "919-779-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEM PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "919-779-9361",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "3996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301824",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Lynn Jeffreys, LCMHA
• Glenda Marett Jeffries, FNP
• Thomas L Jeffries, M.D.
• Jelokhani and Associates DDS PA
• John E Jelovsek, MD
• Alexander Jenkins, PHARMD
• Alyssa Jenkins
• Casey Daniel-Carlyle Jenkins, M.D.
• Danielle Kathleen Jenkins, AU.D.
• David Thomas Jenkins, RPH

• Occupational Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.