Individual provider Active NPI

Jennifer Leigh Mock, MOT, OTR/L, CHT

  • Hand Occupational Therapist
  • Spokane, WA
National Provider Identifier
1326223462
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
TL10000801 Issued in WA
Practice address
5905 N Mayfair St
Spokane, WA 99208-1127
Phone
(509) 462-8010
Fax
(509) 462-8011
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X TL10000801 WA Primary

Addresses

Primary practice location

5905 N Mayfair St
Spokane, WA 99208-1127

Mailing address

5905 N Mayfair St Ste 100
Spokane, WA 99208-1127
Phone (509) 462-8010

Other identifiers 2

IdentifierTypeStateIssuer
7680325MedicaidWA
99960OtherWADEPT. OF LABOR & INDUSTRY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000289 WA Practitioner - Occupational Therapist in Private Practice 6608949938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5905 N Mayfair St
Suite 100
Spokane, WA 99208-1127
Phone (509) 462-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TL10000801WAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Physical & Hand Therapy Spokane Inc. P.S. CurrentSince Apr 2, 2008 Accepting new patients
Inspire Physical & Hand Therapy Spokane Inc. P.S. CurrentSince Apr 2, 2008 Accepting new patients
Quest Diagnostics Clinical Laboratories Inc Past Accepting new patients

Locations

601 W 5th Ave
Ste 308
Spokane, WA 99204
Phone (509) 413-2495

5905 N Mayfair St
#100
Spokane, WA 99208
Phone (509) 315-9155

12410 E Sinto Ave
Ste 205
Spokane Valley, WA 99216
Phone (509) 242-3944

100 Dennis St SW
Ste B
Tumwater, WA 98501
Phone (360) 338-0181

Organizations & group practices 3

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": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1326223462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 N MAYFAIR ST STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081127",
            "telephone_number": "509-462-8010",
            "fax_number": "509-462-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 N MAYFAIR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081127",
            "telephone_number": "509-462-8010",
            "fax_number": "509-462-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "MOT, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "TL10000801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7680325",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR & INDUSTRY",
            "identifier": "99960",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.