Active NPI
Jennifer Bazley, MOT
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1174821193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19584
- Practice address
- 584 Sparrow Branch Cir
Jacksonville, FL 32259-5470 - Phone
- (386) 666-1674
- NPI assigned
- Mar 1, 2011
- Last updated
- Aug 26, 2025
- 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 | 19584 | FL | Primary |
Addresses
Primary practice location
584 Sparrow Branch Cir
Jacksonville, FL 32259-5470
Mailing address
584 Sparrow Branch Cir
Jacksonville, FL 32259-5470
Phone (904) 230-9860
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 |
|---|---|---|---|
| 19584 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1174821193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 SPARROW BRANCH CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322595470",
"telephone_number": "904-230-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 SPARROW BRANCH CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322595470",
"telephone_number": "386-666-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZLEY",
"first_name": "JENNIFER",
"credential": "MOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "19584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.