Active NPI
Jennifer Lynn Syner, OTR
- Occupational Therapist
- Edmond, WV
National Provider Identifier
1235705377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2176
- Practice address
- 55 Newground Rd
Edmond, WV 25837-6028 - Phone
- (304) 228-9768
- NPI assigned
- May 30, 2021
- Last updated
- May 30, 2021
- 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 | 2176 | WV | Primary |
Addresses
Primary practice location
55 Newground Rd
Edmond, WV 25837-6028
Mailing address
55 Newground Rd
Edmond, WV 25837-6028
Phone (304) 228-9768
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 |
|---|---|---|---|
| 2176 | WV | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622332800000",
"number": "1235705377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 NEWGROUND RD",
"city": "EDMOND",
"state": "WV",
"postal_code": "258376028",
"telephone_number": "304-228-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 NEWGROUND RD",
"city": "EDMOND",
"state": "WV",
"postal_code": "258376028",
"telephone_number": "304-228-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYNER",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-30",
"last_updated": "2021-05-30",
"certification_date": "2021-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "2176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.