Individual provider Active NPI

Jennifer A Blair, OTR/L

  • Occupational Therapist
  • Marlton, NJ
National Provider Identifier
1386201986
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00872500 Issued in NJ
Practice address
999 Route 73 N
Marlton, NJ 08053-1227
Phone
(800) 321-9999
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC016291 PA
Occupational Therapist 225X00000X 46TR00872500 NJ Primary

Addresses

Primary practice location

999 Route 73 N
Marlton, NJ 08053-1227

Mailing address

503 Wilson Ave
Linwood, NJ 08221-1224
Phone (609) 289-9128

Other practice location 1

2500 English Creek Ave Ste 1300
Egg Harbor Township, NJ 08234-5598
Phone (800) 321-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627001634 NJ Practitioner - Occupational Therapist in Private Practice 5294069043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

4 W Roosevelt Blvd
Suite 9
Marmora, NJ 08223-1441
Phone (609) 964-7613

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC016291PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Occupational Therapist Current Accepting new patients
Reconstructive Orthopaedic Associates II LLC Occupational Therapist CurrentSince Jan 17, 2020 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Jun 3, 2019 Accepting new patients
Ivyrehab Network Inc Occupational Therapist CurrentSince Jun 4, 2025 Accepting new patients
Ivyrehab Network, Inc. Occupational Therapist CurrentSince Jun 4, 2025 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Jun 3, 2019 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 17, 2020 Accepting new patients

Locations

2500 English Creek Ave
Ste 1300
Egg Hbr Twp, NJ 08234
Phone (609) 677-6060

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

999 Route 73 N
Marlton, NJ 08053
Phone (856) 424-2929

999 Route 73 N
Ste 401
Marlton, NJ 08053

4 W Roosevelt Blvd
Ste 9
Marmora, NJ 08223
Phone (609) 964-7613

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 7

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1386201986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 WILSON AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211224",
            "telephone_number": "609-289-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ROUTE 73 N",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531227",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 English Creek Ave Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "082345598",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016291",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00872500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.