Individual provider Active NPI

Jessica T Gardiner, MSOT

  • Occupational Therapist
  • Voorhees, NJ
National Provider Identifier
1427529064
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00841200 Issued in NJ
Practice address
306 W Somerdale Rd
Voorhees, NJ 08043-2237
Phone
(856) 504-3150
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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 46TR00841200 NJ Primary

Addresses

Primary practice location

306 W Somerdale Rd
Voorhees, NJ 08043-2237

Mailing address

296 High St
Mullica Hill, NJ 08062-9592
Phone (856) 974-4284

Other practice location 1

306 W Somerdale Rd
Voorhees, NJ 08043-2237
Phone (856) 504-3150

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

State licenses

LicenseStateTypeSpecialty
46TR00841200NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1427529064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 HIGH ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629592",
            "telephone_number": "856-974-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SOMERDALE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432237",
            "telephone_number": "856-504-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 W Somerdale Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432237",
            "country_code": "US",
            "telephone_number": "856-504-3150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "JESSICA",
        "middle_name": "T",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00841200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.