Active NPI
Jennifer Trotter, OTR/L
- Occupational Therapist
- Yadkinville, NC
National Provider Identifier
1295120913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9673
- Practice address
- 903 W Main St
Yadkinville, NC 27055-7807 - Phone
- (336) 679-8863
- NPI assigned
- Mar 31, 2015
- Last updated
- Mar 31, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9673 | NC | Primary |
Addresses
Primary practice location
903 W Main St
Yadkinville, NC 27055-7807
Mailing address
1403 Whittle Rd
Martinsville, VA 24112-5523
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 |
|---|---|---|---|
| 9673 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1295120913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 WHITTLE RD",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241125523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 W MAIN ST",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270557807",
"telephone_number": "336-679-8863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTTER",
"first_name": "JENNIFER",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yadkinville, NC
- The Mental Health Association in North Carolina, Inc (Yadkin Valley Club House)
- Steven Thomasson, RPH
- Thye Giving Hand Foundation
- Alia Triplett, BSN, RN
- Rochelle Ridgill Trollinger, LCAS-A
- Carla Samantha Vasquez, FNP
- Erin Ventre, LPC
- William E. Virtue, D.D.S.
- Deborah Suzanne Wages
- Walgreen Co (Walgreens #17560)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.