Individual provider Active NPI

Jennifer Whitacre, OTR/L

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1407536311
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT012526 Issued in OH
Practice address
6480 Harrison Ave Ste 301
Cincinnati, OH 45247-7961
Phone
(513) 574-5400
Fax
(513) 574-6222
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 OT012526 OH Primary

Addresses

Primary practice location

6480 Harrison Ave Ste 301
Cincinnati, OH 45247-7961

Mailing address

6480 Harrison Ave Ste 301
Cincinnati, OH 45247-7961
Phone (513) 574-5400

Other practice location 1

463 Ohio Pike Ste 201
Cincinnati, OH 45255-3744
Phone (513) 574-5400

Other practice location 2

500 E Business Way
Cincinnati, OH 45241-2374
Phone (513) 574-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230807002694 OH Practitioner - Occupational Therapist in Private Practice 4789045725 Reassigns benefits to 1 organization
I20240702003771 KY Practitioner - Occupational Therapist in Private Practice 4789045725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Therapy Source, Inc.Group PAC ID 5193634681, 5 clinicians

Practice addresses (Care Compare)

600 Rodeo Dr
Erlanger, KY 41018-1279
Phone (513) 574-5400

6480 Harrison Ave
Suite 301
Cincinnati, OH 45247-7961
Phone (513) 574-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT012526OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Source, Inc. Occupational Therapist CurrentSince Jul 17, 2023 Accepting new patients
The Therapy Source, Inc. Occupational Therapist CurrentSince Jul 17, 2023 Accepting new patients
The Therapy Source, Inc. Occupational Therapist Past Accepting new patients

Locations

600 Rodeo Dr
Erlanger, KY 41018
Phone (513) 574-5400

6480 Harrison Ave
Ste 301
Cincinnati, OH 45247
Phone (513) 574-5400

463 Ohio Pike
Ste 201
Cincinnati, OH 45255
Phone (513) 574-5400

500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1407536311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-574-5400",
            "fax_number": "513-574-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-574-5400",
            "fax_number": "513-574-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Ohio Pike Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452553744",
            "country_code": "US",
            "telephone_number": "513-574-5400",
            "fax_number": "513-574-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Business Way",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452412374",
            "country_code": "US",
            "telephone_number": "513-574-5400",
            "fax_number": "513-574-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.