Jennifer Terese Janeczko, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA5784 Issued in CA

Practice address

800 Blossom Hill Rd
Los Gatos, CA 95032-3562

Phone

(408) 357-1100

NPI assigned

Mar 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1376394155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16742 VICKY LN",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604876035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BLOSSOM HILL RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323562",
            "telephone_number": "408-357-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANECZKO",
        "first_name": "JENNIFER",
        "middle_name": "TERESE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA5784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Loic Jassy, PH.D., MFT
• Jean Marie LLC
• Jeffrey T Holmes MD Inc
• Michelle Jellen
• Timothy Y Jen, M.D.

• Occupational Therapy Assistant in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.