Active NPI
Jennifer Nordine, OTR/L
- Driving and Community Mobility Occupational Therapist
- Tempe, AZ
National Provider Identifier
1275785099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driving and Community Mobility Occupational Therapist
- License
- 281
- Practice address
- 1414 W Broadway Rd
Ste 218
Tempe, AZ 85282-1133 - Phone
- (480) 449-3331
- Fax
- (480) 753-9428
- NPI assigned
- Oct 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 281 | AZ | |
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 281 | AZ | Primary |
Addresses
Primary practice location
1414 W Broadway Rd
Ste 218
Tempe, AZ 85282-1133
Mailing address
1414 W Broadway Rd
Suite218
Tempe, AZ 85282-1133
Phone (480) 449-3331
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 |
|---|---|---|---|
| 281 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Driving to Independence | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Driving and Community Mobility Occupational Therapist
- Tempe, AZ
- NPI 1336387349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1275785099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W BROADWAY RD",
"address_2": "SUITE218",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821133",
"telephone_number": "480-449-3331",
"fax_number": "480-753-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W BROADWAY RD",
"address_2": "STE 218",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821133",
"telephone_number": "480-449-3331",
"fax_number": "480-753-9428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDINE",
"first_name": "JENNIFER",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "281",
"primary": false
},
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "AZ",
"license": "281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.