Annamarie Jump, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2411 Issued in MN

Practice address

6625 Lyndale Ave S Ste 430
Richfield, MN 55423-2300

Phone

(952) 285-2840

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Capernaum Pediatric Therapy, Inc.

  • Specialist
  • Richfield, MN
  • NPI 1619978228
  NPD
• Center for Speech, Language and Learning, Inc.

  • Speech-Language Pathologist
  • Oakdale, MN
  • NPI 1164588307
  NPD (past)
• Center for Speech, Language, and Learning, Inc.

  • Hearing and Speech Clinic/Center
  • Oakdale, MN
  • NPI 1588592471
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1194300129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 11TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 430",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232300",
            "telephone_number": "952-285-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMP",
        "first_name": "ANNAMARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "2411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Johnson, DDS
• Mark Steven Johnson, D.D.S.
• Ashley Sherelle Jones
• Nicole Shenea Jones
• Todd A Jorgenson, MD
• Summer Rae Juneau
• Dave Jungwirth
• Kahin Home Health Care
• Dustin Kakach, PHARMD
• Kenzie Jean Kalway, PT, DPT

• Occupational Therapy Assistant in Richfield, MN
• Providers in Richfield, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; 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.