Individual provider Active NPI

Jennifer Diane Neu, MOT

  • Occupational Therapist
  • Sherman, TX
National Provider Identifier
1306411178
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
115976 Issued in TX
Practice address
1011 Pecan Grove Rd E
Sherman, TX 75090-3114
Phone
(903) 892-9100
Fax
(502) 580-0205
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 115976 TX Primary

Addresses

Primary practice location

1011 Pecan Grove Rd E
Sherman, TX 75090-3114

Mailing address

PO Box 356
Lindsay, TX 76250-0356
Phone (817) 247-1521

Other identifiers 1

IdentifierTypeStateIssuer
11115976OtherTXTBOTE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
115976TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Rehabilitation Clinics, LLC Occupational Therapist Past Accepting new patients
Rehabcare Group East, LLC PastSince Dec 18, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1306411178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "LINDSAY",
            "state": "TX",
            "postal_code": "762500356",
            "telephone_number": "817-247-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PECAN GROVE RD E",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750903114",
            "telephone_number": "903-892-9100",
            "fax_number": "502-580-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEU",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBOTE",
            "identifier": "11115976",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.