Individual provider Active NPI

Jennifer Schlenk, MS, OT

  • Occupational Therapist
  • Palm City, FL
National Provider Identifier
1184015869
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19721 Issued in FL
Practice address
5791 SW Bald Eagle Dr
Palm City, FL 34990-8859
Phone
(201) 240-1821
NPI assigned
Feb 17, 2015
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00390300 NJ
Occupational Therapist 225X00000X 19721 FL Primary

Addresses

Primary practice location

5791 SW Bald Eagle Dr
Palm City, FL 34990-8859

Mailing address

5791 SW Bald Eagle Dr
Palm City, FL 34990-8859
Phone (201) 240-1821

Other names 1

  • Mrs. Jennifer Collins Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19721FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1184015869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5791 SW BALD EAGLE DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908859",
            "telephone_number": "201-240-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5791 SW BALD EAGLE DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908859",
            "telephone_number": "201-240-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLENK",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MS, OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00390300",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COLLINS",
            "prefix": "MRS.",
            "credential": "MS, OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.