Active NPI
Jennifer Suzanne Neal, OTR/L
- Occupational Therapist
- Fort Moore, GA
National Provider Identifier
1477576262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2370
- Practice address
- 6600 Van Aalst Blvd BLDG 9250
Fort Moore, GA 31905-2102 - Phone
- (762) 408-1545
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2370 | GA | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd BLDG 9250
Fort Moore, GA 31905-2102
Mailing address
Martin Army Community Hospital
6600 Van Aalst Building 9250
Fort Moore, GA 31905
Phone (762) 408-1545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2370 | Other | GA | OT LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2370 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1477576262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MARTIN ARMY COMMUNITY HOSPITAL",
"address_2": "6600 VAN AALST BUILDING 9250",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "31905",
"telephone_number": "762-408-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD BLDG 9250",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "762-408-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "JENNIFER",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2025-01-27",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "2370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "2370",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Moore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.