Jenna Vandevender, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA007499 Issued in OH

Practice address

950 Youngstown Warren Rd Ste a
Niles, OH 44446-4626

Phone

(330) 505-1606

NPI assigned

Nov 13, 2019

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Aaris Therapy Group, Inc

  • Speech-Language Pathologist
  • Niles, OH
  • NPI 1104047679
  NPD
• FM Speech Therapy LLC

  dba TheraPeds

  • Professional Counselor
  • Cleveland, OH
  • NPI 1609345479
  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1245875244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 WESTOVER DR SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 YOUNGSTOWN WARREN RD STE A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464626",
            "telephone_number": "330-505-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2529 Detroit Ave Ste 136",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441132701",
            "country_code": "US",
            "telephone_number": "216-282-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEVENDER",
        "first_name": "JENNA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA007499",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "OTA007499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usv Optical Inc.
• Usv Optical, Inc.
• Lorraine Amber Utter
• Melissa Valantine Ferrara
• Lea Van Kline-Shivers, DMD
• Christine Vanwyk
• Sarah Colleen Varner, LISW-S
• Kami T Vechiarelli, BA
• Jessica Veltri
• Dominic Silvio Venetti II, PC

• Occupational Therapy Assistant in Niles, OH
• Providers in Niles, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.