Active NPI
Kelly D Jenkins, O.T.
- Occupational Therapist
- Sheffield Village, OH
National Provider Identifier
1407197163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.007456
- Practice address
- 5334 Meadow Lane CT
Sheffield Village, OH 44035-1469 - Phone
- (440) 934-8987
- NPI assigned
- Mar 6, 2013
- 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 | OT.007456 | OH | Primary |
Addresses
Primary practice location
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Mailing address
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone (440) 934-8987
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1407197163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5334 MEADOW LANE CT",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440351469",
"telephone_number": "440-934-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5334 MEADOW LANE CT",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440351469",
"telephone_number": "440-934-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KELLY",
"middle_name": "D",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.007456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheffield Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.