NPIMap

Individual provider Active NPI

Jane Ann Garrett, OTR/L

  • Occupational Therapist
  • Moline, IL
National Provider Identifier
1356526636
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.000146 Issued in IL
Practice address
1504 13TH Ave
Moline, IL 61265-3113
Phone
(309) 762-9552
Fax
(309) 762-9552
NPI assigned
Jan 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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 056.000146 IL Primary

Addresses

Primary practice location

1504 13TH Ave
Moline, IL 61265-3113

Mailing address

1504 13TH Ave
Moline, IL 61265-3113
Phone (309) 762-9552

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
056.000146ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Iowa Physical Therapy, PC Past Accepting new patients
Children'S Therapy Center of the Quad Cities Occupational Therapist Past Accepting new patients
Eastern Iowa Physical Therapy PC Past Accepting new patients

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": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1356526636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 13TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653113",
            "telephone_number": "309-762-9552",
            "fax_number": "309-762-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 13TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653113",
            "telephone_number": "309-762-9552",
            "fax_number": "309-762-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "JANE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.000146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.