Jad Esmond, LLC

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

OT11518 Issued in TN

Legal business name

JAD ESMOND, LLC

Doing business as

Success For Special Kids

Practice address

168 Sims Creek LN
Jupiter, FL 33458-7984

Phone

(561) 718-9844

Fax

(561) 744-8870

NPI assigned

Mar 19, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Anita Marie Mareus, OTR

Title

Director of Clinical Services

Phone

(954) 865-3705

Specialties & licenses 9

Addresses

Other identifiers 5

Other names 1

• Success For Special Kids Doing business as

Locations

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397865600000",
    "number": "1437576238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6671 W INDIANTOWN RD",
            "address_2": "SUITE 129",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583991",
            "telephone_number": "561-718-9844",
            "fax_number": "561-744-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 SIMS CREEK LN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587984",
            "telephone_number": "561-718-9844",
            "fax_number": "561-744-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAD ESMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-04-19",
        "status": "A",
        "authorized_official_last_name": "MAREUS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "954-865-3705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": "TN",
            "license": "OT11518",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT11518",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "TN",
            "license": "OT11518",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "TN",
            "license": "OT11518",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": "TN",
            "license": "OT11518",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "TN",
            "license": "OT11518",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": "TN",
            "license": "OT11518",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": "TN",
            "license": "OT11518",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "OT11518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "225X00000X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1891891297",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891985200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010042600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE #",
            "identifier": "OT11518",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success For Special Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenell Jackson, RN
• Karen T Jackson, PA-C
• Jeffrey Jacobs, MD
• Sheri Denise Jacobs, DACM
• Alan L Jacobson, M.D.
• Norman Jaeger, L.M.H.C.
• Danielle Jaffe, MSN, FNP-C
• Jaideep Puri MD PLLC
• Jaishil PLLC
• Matthew J Jalazo, PSY.D.

• Orthotic Fitter in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Orthotic Fitter in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2014; 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.