Individual provider Active NPI

Jenna Bishop, OTR/L

  • Occupational Therapist
  • Morgantown, WV
National Provider Identifier
1245752427
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1896 Issued in WV
Practice address
5000 Greenbag Rd
Morgantown, WV 26501-7163
Phone
(304) 291-5661
NPI assigned
Jul 10, 2017
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 1896 WV Primary

Addresses

Primary practice location

5000 Greenbag Rd
Morgantown, WV 26501-7163

Mailing address

6 Edwin St
Morgantown, WV 26501-8505
Phone (304) 292-0173

Other practice location 1

102 Benoni Ave
Fairmont, WV 26554-2812
Phone (304) 292-0173

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

LicenseStateTypeSpecialty
1896WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Playworks LLC Occupational Therapist Past Accepting new patients
Playworks LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1245752427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EDWIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265018505",
            "telephone_number": "304-292-0173",
            "fax_number": "304-292-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 GREENBAG RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265017163",
            "telephone_number": "304-291-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Benoni Ave",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265542812",
            "country_code": "US",
            "telephone_number": "304-292-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JENNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.