Active NPI
Jennifer Lynn Pimentel, OTR
- Occupational Therapist
- Falls Church, VA
National Provider Identifier
1417396755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 310320
- Practice address
- 7700 Arlington Blvd
Ste 5113
Falls Church, VA 22042-2929 - Phone
- (703) 681-9025
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 310320 | Primary |
Addresses
Primary practice location
7700 Arlington Blvd
Ste 5113
Falls Church, VA 22042-2929
Mailing address
414 London St
Apt 3
Portsmouth, VA 23704-2546
Phone (505) 205-2990
Other names 1
- Ms. Jennifer Lynn O'Hearn
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1417396755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 LONDON ST",
"address_2": "APT 3",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042546",
"telephone_number": "505-205-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 ARLINGTON BLVD",
"address_2": "STE 5113",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422929",
"telephone_number": "703-681-9025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTEL",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "310320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "O'HEARN",
"middle_name": "LYNN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.