Samantha Jerry

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01027900 Issued in NJ

Practice address

728 Bennetts Mills Rd Ste 1
Jackson, NJ 08527-3850

Phone

(732) 415-1401

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thompson Medical and Chiropractic LLCGroup PAC ID 5395008163, 48 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.

• Thompson Medical and Chiropractic LLC

  dba Thompson Healthcare & Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Forked River, NJ
  • NPI 1942755103

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Thompson Medical and Chiropractic LLC

  dba Thompson Healthcare & Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Wall Township, NJ
  • NPI 1215604103
  NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1265198782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 BENNETTS MILLS RD STE 1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273850",
            "telephone_number": "732-415-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 BENNETTS MILLS RD STE 1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273850",
            "telephone_number": "732-415-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERRY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01027900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Joyce Jacoby, RPH
• Magalie Saint-Lot Jacques, M.D
• Megan Jankowsky, BCBA
• JC Consultants LLC
• Aviva M Jeremias
• Jersey Advanced MRI and Diagnostic Center
• Jersey Shore Monmouth Family Medicine Group PC (Meridian JS Monmouth Family Medical Group at Jackson Village)
• Jersey Shore Monmouth Family Medicine Group PC (Meridian JS Monmouth Family Medicine Group at Howell Jackson Medical C)
• Sharon Lynn Jessie, LCSW
• John Drulle MD & Emilia Eiras MD PC

• Occupational Therapist in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.