Active NPI
Jennifer L Fisher, OTR/L
- Occupational Therapist
- Hudson, MI
National Provider Identifier
1396820221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201000991
- Practice address
- 325 Railroad St Ste B
Hudson, MI 49247-1062 - Phone
- (517) 448-2035
- Fax
- (517) 448-2113
- NPI assigned
- Oct 26, 2006
- Last updated
- Dec 19, 2019
- 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 | 5201000991 | MI | Primary |
Addresses
Primary practice location
325 Railroad St Ste B
Hudson, MI 49247-1062
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250
Other names 1
- Jennifer L Fruth
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Gray Physical Therapy Clinic Inc. | Occupational Therapist | Past | Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients |
Interoperability endpoints
- jennifer.fisher.p4@direct.athleticoltd.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Chicago, IL
- NPI 1073535845
Occupational Therapist
-
dba RehabCare
- Rehabilitation Clinic/Center
- South Milwaukee, WI
- NPI 1326099128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1396820221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 RAILROAD ST STE B",
"city": "HUDSON",
"state": "MI",
"postal_code": "492471062",
"telephone_number": "517-448-2035",
"fax_number": "517-448-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201000991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "FRUTH",
"middle_name": "L",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hudson, MI
- Dr. Joseph P. Bender P.C.
- Taylor Eisele
- Family Medical Center of Michigan, Inc (Family Medical Center of Michigan-Lincoln Elementary)
- Family Medical Center of Michigan,Inc (Family Medical Center - SMCSI)
- Family Medical Center of Michigan,Inc (Family Medical Center-Hudson Middle/High School)
- Linda Kay Freeborn, RPH
- Chas S Frey, DPT
- Luke Ryan Gier
- Wenceslita C Gorowski, PT
- Nicole Hillis, LLMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.