Individual provider Active NPI

Jennifer Brow, OTR

  • Occupational Therapist
  • Debary, FL
National Provider Identifier
1285098822
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17605 Issued in FL
Practice address
75 Fox Ridge CT Ste G
Debary, FL 32713-2701
Phone
(386) 785-6778
Fax
(386) 220-8710
NPI assigned
Apr 10, 2016
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 OT17605 FL Primary

Addresses

Primary practice location

75 Fox Ridge CT Ste G
Debary, FL 32713-2701

Mailing address

532 Tradewinds Dr
Deltona, FL 32738-7791
Phone (386) 785-6778

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

LicenseStateTypeSpecialty
OT17605FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Life Skills & Play Center CurrentSince Jun 1, 2020 Accepting new patients

Locations

75 Fox Ridge Ct
Ste G
Debary, FL 32713
Phone (386) 216-2811

1785 Elkcam Blvd
Deltona, FL 32725

517 Deltona Blvd
Ste D
Deltona, FL 32725
Phone (386) 473-4566

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, 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": "1460246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1285098822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 TRADEWINDS DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327387791",
            "telephone_number": "386-785-6778",
            "fax_number": "386-220-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FOX RIDGE CT STE G",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132701",
            "telephone_number": "386-785-6778",
            "fax_number": "386-220-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROW",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-10",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.