Individual provider Active NPI

Jennifer Rice Proctor, OTR/L

  • Occupational Therapist
  • Scottsboro, AL
National Provider Identifier
1245761279
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4853 Issued in AL
Practice address
476 County Road 228
Scottsboro, AL 35768-6414
Phone
(256) 242-3014
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 18303 FL
Occupational Therapist 225X00000X 4853 AL Primary

Addresses

Primary practice location

476 County Road 228
Scottsboro, AL 35768-6414

Mailing address

476 County Road 228
Scottsboro, AL 35768-6414
Phone (256) 242-3014

Other practice location 1

31 Buffalo View Ln
Palm Coast, FL 32137-9456
Phone (256) 242-3014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225001768 AL Practitioner - Occupational Therapist in Private Practice 9436498169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Health System - the Orthopaedic Center LLCGroup PAC ID 0547624843, 172 clinicians

Practice addresses (Care Compare)

104 Liberty LN
Scottsboro, AL 35769-4163
Phone (256) 539-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18303FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Center CurrentSince Jan 15, 2019 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Sep 16, 2023 Accepting new patients

Locations

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Fl 1
Huntsville, AL 35801

927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

104 Liberty Ln
Scottsboro, AL 35769
Phone (256) 574-0660

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1245761279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 COUNTY ROAD 228",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357686414",
            "telephone_number": "256-242-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 COUNTY ROAD 228",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357686414",
            "telephone_number": "256-242-3014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Buffalo View Ln",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321379456",
            "country_code": "US",
            "telephone_number": "256-242-3014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "JENNIFER",
        "middle_name": "RICE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "18303",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.