Active NPI
Jodie Sue Conrad, OTRL
- Occupational Therapist
- Carroll, OH
National Provider Identifier
1295933778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3707
- Practice address
- 3680 Dolson CT
Carroll, OH 43112-9721 - Phone
- (740) 654-0641
- Fax
- (740) 654-3896
- NPI assigned
- Jul 6, 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 | 3707 | OH | Primary |
Addresses
Primary practice location
3680 Dolson CT
Carroll, OH 43112-9721
Mailing address
5041 Ebright Rd
Canal Winchester, OH 43110-9191
Phone (614) 834-3870
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 |
|---|---|---|---|
| 3707 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295933778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5041 EBRIGHT RD",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431109191",
"telephone_number": "614-834-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 DOLSON CT",
"city": "CARROLL",
"state": "OH",
"postal_code": "431129721",
"telephone_number": "740-654-0641",
"fax_number": "740-654-3896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "JODIE",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "3707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carroll, OH
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.