Jennifer Ouanita Deaderick, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT17937 Issued in FL

Practice address

190 Broadway St Ste 101
Asheville, NC 28801-2501

Phone

(828) 412-0908

NPI assigned

May 23, 2007

Last updated

Feb 8, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Therapeutics Asheville IncorporatedGroup PAC ID 6305250218, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Thrive Therapeutics Asheville Incorporated

  • Occupational Therapist
  • Asheville, NC
  • NPI 1083204945
  Medicare reassignment Care Compare group NPD
• Muller & Weber Physical Therapy, Inc

  • Physical Therapist
  • Santa Barbara, CA
  • NPI 1972716595

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1255541405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BRADLEY ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288064406",
            "telephone_number": "828-412-0908",
            "fax_number": "828-552-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BROADWAY ST STE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012501",
            "telephone_number": "828-412-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEADERICK",
        "first_name": "JENNIFER",
        "middle_name": "OUANITA",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT1436",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Imperial De Guzman, M.D.
• Vanessa De la Vega, PT
• Kristina De Los Santos, SLP
• John Andrew De Stefano, LCMHCA, LCASA
• Jeffrey Deacon, CRNA
• Darilyn Hedden Dealy, MD
• John Newell Dean, MD
• Mary Elizabeth Deane, LPCA
• Anna Matilda Deangelis, LCSW
• Kaylee Dawn Deardorff, MD

• Occupational Therapist in Asheville, NC
• Providers in Asheville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.