Individual provider Active NPI

Jennifer Lehman Carter, OT

  • Occupational Therapist
  • Crestview, FL
National Provider Identifier
1407077159
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8398 Issued in CA
Practice address
930 N Ferdon Blvd
Crestview, FL 32536-1706
Phone
(850) 331-2987
Fax
(850) 398-5008
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8398 CA Primary

Addresses

Primary practice location

930 N Ferdon Blvd
Crestview, FL 32536-1706

Mailing address

930 N Ferdon Blvd
Crestview, FL 32536-1706
Phone (850) 331-2987

Other practice location 1

4655 Ruffner St
Suite 270
San Diego, CA 92111-2275
Phone (800) 787-6787

Other names 1

  • Jennifer Margaret Lehman Former name

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

LicenseStateTypeSpecialty
8398CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Therapy, LLC Current Accepting new patients
Absolute Therapy, LLC Current Accepting new patients
Preferred Healthcare Registry Past Accepting new patients

Locations

930 N Ferdon Blvd
Crestview, FL 32536
Phone (850) 331-2987

Organizations & group practices 3

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1407077159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325361706",
            "telephone_number": "850-331-2987",
            "fax_number": "850-398-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325361706",
            "telephone_number": "850-331-2987",
            "fax_number": "850-398-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4655 Ruffner St",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921112275",
            "country_code": "US",
            "telephone_number": "800-787-6787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JENNIFER",
        "middle_name": "LEHMAN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LEHMAN",
            "middle_name": "MARGARET",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.