Jenna Kathleen Mott, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010022 Issued in MI

Practice address

7566 N Pinefield Dr
Dexter, MI 48130-9379

Phone

(734) 474-2905

NPI assigned

Feb 19, 2018

Last updated

Feb 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Kathleen Hassan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1437659109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 N EAST ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301585",
            "telephone_number": "810-623-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 N PINEFIELD DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309379",
            "telephone_number": "734-474-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "JENNA",
        "middle_name": "KATHLEEN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "HASSAN",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jane Mitchell, RN
• Jennifer Elaine Mitchell, LPC, CCS, CAADC
• Mary Elizabeth Moenssen, D.D.S., M.S.
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• Robert John Mowry, MD
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• Stacey Lyn Myint, D.C.
• Mackenzie Lee Need
• Rebecca Rowland Newman

• Occupational Therapist in Dexter, MI
• Providers in Dexter, MI by specialty
• Occupational Therapist in Michigan

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