Individual provider Active NPI

Jennifer Zerr

  • Pediatric Occupational Therapist
  • Hopkins, MN
National Provider Identifier
1396861076
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
227377 Issued in MN
Practice address
1014 Mainstreet
Hopkins, MN 55343-7534
Phone
(952) 224-0707
Fax
(952) 224-1612
NPI assigned
Mar 22, 2007
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 112157 TX
Pediatric Occupational Therapist 225XP0200X 227377 MN Primary

Addresses

Primary practice location

1014 Mainstreet
Hopkins, MN 55343-7534

Mailing address

908 Mainstreet
Hopkins, MN 55343-7516
Phone (952) 224-0707

Other identifiers 2

IdentifierTypeStateIssuer
169033101MedicaidTX
390080000MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920000932 MN Practitioner - Occupational Therapist in Private Practice 4385185115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
227377MNMDPediatric Occupational Therapist
112157TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Autism & Communication Therapy Institute, Inc. CurrentSince Jul 7, 2024 Accepting new patients

Locations

908 Mainstreet
Hopkins, MN 55343
Phone (952) 224-0707

1014 Mainstreet
Hopkins, MN 55343
Phone (952) 224-0707

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1396861076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437516",
            "telephone_number": "952-224-0707",
            "fax_number": "952-224-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437534",
            "telephone_number": "952-224-0707",
            "fax_number": "952-224-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERR",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "112157",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "227377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169033101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390080000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.