Jennifer Joy Whitcomb, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

102863 Issued in MN

Practice address

1705 Cope Ave E
Suite G
Maplewood, MN 55109

Phone

(651) 773-0354

NPI assigned

Nov 24, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285709113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 HURON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082316",
            "telephone_number": "612-916-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 COPE AVE E",
            "address_2": "SUITE G",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-773-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "JENNIFER",
        "middle_name": "JOY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "102863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Westlund, MSW, LICSW
• Megan Wetterling, MA OTR/L
• Kara Wheeler, RD, LD
• Jessica K Whelan, MD
• Margaret Whipple
• Sandra M Wick, PH.D., L.P.
• Ingrid Elizabeth Wilbrand-Conley, MD
• Amila Dilusha William, MD
• Alyssa Rae Williams, LPN
• Laura Lee Williams, MA OTRL

• Pediatric Occupational Therapist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• 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.

Verify at the official NPI Registry.