Individual provider Active NPI

Jenna E Perry, OT

  • Occupational Therapist
  • Vincennes, IN
National Provider Identifier
1255730800
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31005507A Issued in IN
Practice address
2121 Willow St
Vincennes, IN 47591-5355
Phone
(812) 882-1141
Fax
(812) 255-0045
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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 31005507A IN Primary

Addresses

Primary practice location

2121 Willow St
Vincennes, IN 47591-5355

Mailing address

7300 E Indiana St
Suite 102
Evansville, IN 47715-2794
Phone (812) 476-0409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140908000891 IN Practitioner - Occupational Therapist in Private Practice 4486872371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prorehab IncGroup PAC ID 1254317217, 81 clinicians

Practice addresses (Care Compare)

10294 S 150
Haubstadt, IN 47639-8017
Phone (812) 768-5207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Aug 20, 2014 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Occupational Therapist Current Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Aug 20, 2014 Accepting new patients
Prorehab Inc Occupational Therapist CurrentSince Aug 20, 2014 Accepting new patients
Prorehab Inc Occupational Therapist CurrentSince Aug 20, 2014 Accepting new patients

Locations

3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451

75 Industrial Park Rd
Ste D
Ferdinand, IN 47532
Phone (502) 882-9379

10294 S 150 E
Haubstadt, IN 47639
Phone (812) 768-5207

8450 Northwest Blvd
Indianapolis, IN 46278

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

826 N State Road 161
Ste B
Rockport, IN 47635
Phone (812) 627-7007

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

Interoperability endpoints

  • Direct secure messaging: referral4@prorehab-vincennes.direct.kno2fy.com

Organizations & group practices 7

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": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1255730800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 E INDIANA ST",
            "address_2": "SUITE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152794",
            "telephone_number": "812-476-0409",
            "fax_number": "812-476-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILLOW ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915355",
            "telephone_number": "812-882-1141",
            "fax_number": "812-255-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JENNA",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005507A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.