Active NPI
Jenna F Lemon
- Hand Occupational Therapist
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 31007605A
- Practice address
- 53880 Carmichael Dr
South Bend, IN 46635-1567 - Phone
- (574) 247-9441
- NPI assigned
- Nov 17, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 31007605A | IN | Primary |
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
53880 Carmichael Dr
South Bend, IN 46635-1567
Mailing address
3600 W Bethel Ave
Muncie, IN 47304-5407
Other practice location 1
5230 Beck Dr Ste 7
Elkhart, IN 46516-9059
Phone (574) 247-9441
Other practice location 2
60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone (574) 247-9441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31007605A | Other | IN | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (317) 455-1064
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.81 of 100
- Quality
- 64.48
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31007605A | IN | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Indiana Orthopedics LLC | Physical Therapist | Current | Accepting new patients |
| Central Indiana Orthopedics, LLC | Current | Accepting new patients |
Locations
5230 Beck Dr
Ste 7
Elkhart, IN 46516
Phone (574) 274-9441
60160 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 247-2790
3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870
53880 Carmichael Dr
South Bend, IN 46635
Phone (574) 234-1159
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.
-
- Orthopaedic Surgery Physician
- Muncie, IN
- NPI 1063422137
Physical Therapist
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1669207023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1346906070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W BETHEL AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53880 CARMICHAEL DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351567",
"telephone_number": "574-247-9441"
}
],
"practiceLocations": [
{
"address_1": "5230 Beck Dr Ste 7",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465169059",
"country_code": "US",
"telephone_number": "574-247-9441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60160 Bodnar Blvd",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465449338",
"country_code": "US",
"telephone_number": "574-247-9441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEMON",
"first_name": "JENNA",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IN",
"license": "31007605A",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "31007605A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.