Individual provider Active NPI

Jennifer Irene Zarkos, OTR/L

  • Occupational Therapist
  • Dallas, TX
National Provider Identifier
1316565310
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14734 Issued in CA
Practice address
12225 Greenville Ave Ste 600
Dallas, TX 75243-9362
Phone
(513) 453-7805
Fax
(214) 272-2714
NPI assigned
Jul 7, 2020
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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 14734 CA Primary

Addresses

Primary practice location

12225 Greenville Ave Ste 600
Dallas, TX 75243-9362

Mailing address

914 W 10TH St
San Pedro, CA 90731-3515
Phone (760) 331-9145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240309000608 CA Practitioner - Occupational Therapist in Private Practice 7719323062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Hodencamp Rd
Suite 100
Thousand Oaks, CA 91360-5831
Phone (805) 495-0516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Hand & Upper Extremity Center Inc Occupational Therapist CurrentSince Jan 24, 2024 Accepting new patients
The Hand & Upper Extremity Center Inc Occupational Therapist Current Accepting new patients

Locations

3695 Alamo St
Ste 205
Simi Valley, CA 93063
Phone (805) 520-7990

101 Hodencamp Rd
Ste 100
Thousand Oaks, CA 91360
Phone (805) 495-0516

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, 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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1316565310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 W 10TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313515",
            "telephone_number": "760-331-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12225 GREENVILLE AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439362",
            "telephone_number": "513-453-7805",
            "fax_number": "214-272-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARKOS",
        "first_name": "JENNIFER",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.