Active NPI
Jennifer Ann Penrod, COTA
- Occupational Therapy Assistant
- Waxahachie, TX
National Provider Identifier
1346723343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 208406
- Practice address
- 151 Country Meadows Blvd
Waxahachie, TX 75165-7811 - Phone
- (972) 937-1560
- NPI assigned
- Sep 14, 2018
- 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 Therapy Assistant | 224Z00000X | 208406 | TX | Primary |
Addresses
Primary practice location
151 Country Meadows Blvd
Waxahachie, TX 75165-7811
Mailing address
2401 FM 1181
Ennis, TX 75119-5571
Phone (972) 979-1535
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 |
|---|---|---|---|
| 208406 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1346723343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 FM 1181",
"city": "ENNIS",
"state": "TX",
"postal_code": "751195571",
"telephone_number": "972-979-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 COUNTRY MEADOWS BLVD",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751657811",
"telephone_number": "972-937-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENROD",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "208406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxahachie, TX
- Peaceful Minds Psychiatry, PLLC
- Peak Anesthesia Partners PLLC
- Peak Physical Therapy, LLC
- Pediatric and Adolescent Healthcare Associates of Waxahachie, P. a.
- Jasper Elisabet Pena, APRN, FNP-C
- Lauren Ashley Petree, PTA
- Noelle Petri, APRN
- Derek Pham, PT, DPT
- Kathryn Rachel Phillips
- Phoenix Residential Investment Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.