Jennifer Mathis Cunningham, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

657 Issued in TN

Practice address

1119 Old Humboldt Road
Jackson, TN 38305-1752

Phone

(731) 668-3888

Fax

(731) 668-1666

NPI assigned

Feb 11, 2010

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Star Center, Inc.

  • Rehabilitation Clinic/Center
  • Jackson, TN
  • NPI 1588738157
  NPD (past)

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1235461567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 OLD HUMBOLDT ROAD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051752",
            "telephone_number": "731-668-3888",
            "fax_number": "731-668-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 OLD HUMBOLDT ROAD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051752",
            "telephone_number": "731-668-3888",
            "fax_number": "731-668-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JENNIFER",
        "middle_name": "MATHIS",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian L. Culbreath, D.D.S., M.S.
• William Lance Culley, D.D.S.
• Kristi Culp, B.S.
• Allison Cummings, FNP
• Karen W Cummings, DPH
• Louis E Cunningham, M.D.
• Cura Partners, LLC
• Dean P Currie, MD
• Alex Curry
• Kendra L Curtis, LADAC II, NCAC II

• Occupational Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.