Individual provider Active NPI

Jennifer M. Adams, OTRK

  • Occupational Therapist
  • Sarasota, FL
National Provider Identifier
1194842799
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 10387 Issued in FL
Practice address
63 Sarasota Center Blvd
#101
Sarasota, FL 34240-9385
Phone
(941) 379-3725
Fax
(941) 377-1131
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 10387 FL Primary

Addresses

Primary practice location

63 Sarasota Center Blvd
#101
Sarasota, FL 34240-9385

Mailing address

63 Sarasota Center Blvd
#101
Sarasota, FL 34240-9385
Phone (941) 379-3725

Other identifiers 1

IdentifierTypeStateIssuer
890757900MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
OT 10387FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1194842799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SARASOTA CENTER BLVD",
            "address_2": "#101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409385",
            "telephone_number": "941-379-3725",
            "fax_number": "941-377-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SARASOTA CENTER BLVD",
            "address_2": "#101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409385",
            "telephone_number": "941-379-3725",
            "fax_number": "941-377-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "OTRK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 10387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890757900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.