Active NPI
Jeanne Egan, OT
- Occupational Therapist
- Lakewood Ranch, FL
National Provider Identifier
1447840582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 29608
- Practice address
- 6977 Professional Pkwy E
Lakewood Ranch, FL 34240-8411 - Phone
- (941) 758-3140
- NPI assigned
- Jan 22, 2021
- Last updated
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 29608 | FL | Primary |
Addresses
Primary practice location
6977 Professional Pkwy E
Lakewood Ranch, FL 34240-8411
Mailing address
6977 Professional Pkwy E
Lakewood Ranch, FL 34240-8411
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29608 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Potentials, Inc | Occupational Therapist | Current | Accepting new patients |
Locations
6977 Professional Pkwy
Lakewood Ranch, FL 34240
Phone (941) 758-3140
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1447840582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6977 PROFESSIONAL PKWY E",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342408411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6977 PROFESSIONAL PKWY E",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342408411",
"telephone_number": "941-758-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "JEANNE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "29608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.