Active NPI
Jennifer Todd, OTR
- Occupational Therapist
- Plano, TX
National Provider Identifier
1174795173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105749
- Practice address
- 3034 Montego PL
Plano, TX 75023-8010 - Phone
- (972) 800-8976
- Fax
- (972) 943-5859
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 105749 | TX | Primary |
Addresses
Primary practice location
3034 Montego PL
Plano, TX 75023-8010
Mailing address
3034 Montego PL
Plano, TX 75023-8010
Phone (972) 800-8976
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 |
|---|---|---|---|
| 105749 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baby Begin | 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 and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Plano, TX
- NPI 1255592101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1174795173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3034 MONTEGO PL",
"city": "PLANO",
"state": "TX",
"postal_code": "750238010",
"telephone_number": "972-800-8976",
"fax_number": "972-943-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3034 MONTEGO PL",
"city": "PLANO",
"state": "TX",
"postal_code": "750238010",
"telephone_number": "972-800-8976",
"fax_number": "972-943-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "JENNIFER",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.