Jessica Clemmenson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3971 Issued in CT

Practice address

1 Abrahms Blvd
West Hartford, CT 06117-1508

Phone

(860) 523-3860

NPI assigned

Oct 17, 2012

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Visitry Florida LLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1659131837
  Medicare reassignment NPD

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1467705335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BELAIRE CIR",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "060962809",
            "telephone_number": "860-819-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ABRAHMS BLVD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171508",
            "telephone_number": "860-523-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMENSON",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Frederick Clark
• Arlene Clarke, LPN
• Maribel Claudio, MS, LPC
• Clear Life Counseling, LLC
• Clementine Counseling
• Climbing Out Solutions, LLC
• Caitlin Rose Cloutier, DDS
• Elizabeth Louise Cocola, APRN
• Daniel Codrington, PT, DPT
• Dawn McVey Cohen, LCSW

• Occupational Therapist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.