Individual provider Active NPI

Jennifer Pineda, OTR/L

  • Occupational Therapist
  • Nashville, NC
National Provider Identifier
1427764513
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15606 Issued in NC
Practice address
145 Nashville Commons Dr
Nashville, NC 27856-1823
Phone
(910) 298-2331
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 15606 NC Primary

Addresses

Primary practice location

145 Nashville Commons Dr
Nashville, NC 27856-1823

Mailing address

13076 Thrasher CT
Zebulon, NC 27597-5653

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.pineda@alumni.dominican.edu Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage OT, PC Occupational Therapist CurrentSince Jan 31, 2023 Accepting new patients
Advantage OT Inc. Occupational Therapist CurrentSince Jan 31, 2023 Accepting new patients

Locations

160 N NC 241 Hwy
Beulaville, NC 28518
Phone (888) 258-6905

145 Nashville Commons Dr
Nashville, NC 27856
Phone (845) 416-0599

Organizations & group practices 2

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1427764513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13076 THRASHER CT",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275975653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NASHVILLE COMMONS DR",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561823",
            "telephone_number": "910-298-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.pineda@alumni.dominican.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "145 Nashville Commons Dr",
            "city": "Nashville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278561823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.