Active NPI
Jennifer Joy Underwood, OT/L
- Occupational Therapist
- Canal Fulton, OH
National Provider Identifier
1386428837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005518
- Practice address
- 12200 Strausser St NW
Canal Fulton, OH 44614-9479 - Phone
- (740) 972-3976
- NPI assigned
- Aug 23, 2023
- 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 Therapist | 225X00000X | 005518 | OH | Primary |
Addresses
Primary practice location
12200 Strausser St NW
Canal Fulton, OH 44614-9479
Mailing address
2431 Spade Rd
Uniontown, OH 44685-8808
Phone (740) 972-3976
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 |
|---|---|---|---|
| 005518 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1386428837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 SPADE RD",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446858808",
"telephone_number": "740-972-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 STRAUSSER ST NW",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446149479",
"telephone_number": "740-972-3976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "JENNIFER",
"middle_name": "JOY",
"credential": "OT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "005518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canal Fulton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.