Active NPI
Jennifer L Hevenor, OTRL
- Occupational Therapist
- Hyannis, MA
National Provider Identifier
1265648257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3934
- Practice address
- 130 North St
Cape Cod Hospital Rehabilitation Center
Hyannis, MA 02601 - Phone
- (508) 772-9600
- Fax
- (508) 775-1753
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3934 | MA | Primary |
Addresses
Primary practice location
130 North St
Cape Cod Hospital Rehabilitation Center
Hyannis, MA 02601
Mailing address
5 Arbutus LN
Sandwich, MA 02563
Phone (508) 428-4872
Other names 1
- Miss Jennifer L Stumpp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3934 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265648257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ARBUTUS LN",
"city": "SANDWICH",
"state": "MA",
"postal_code": "02563",
"telephone_number": "508-428-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 NORTH ST",
"address_2": "CAPE COD HOSPITAL REHABILITATION CENTER",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "508-772-9600",
"fax_number": "508-775-1753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEVENOR",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "3934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "STUMPP",
"middle_name": "L",
"prefix": "MISS",
"credential": "OTRL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.