Jannie Sue Phillips, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

3125 Issued in NC

Practice address

2917 14TH Ave NE
Conover, NC 28613

Phone

(828) 291-3523

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By 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

• Jannie Sue Nehls Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1508115171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 14TH AVE NE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "828-291-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 14TH AVE NE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "28613",
            "telephone_number": "828-291-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JANNIE",
        "middle_name": "SUE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NC",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNIE",
            "last_name": "NEHLS",
            "middle_name": "SUE",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathy Cloninger Pasour, MACC, LMFT, LCAS
• Whitney Patterson, NP
• Sara C. Paul, NP
• Susan Kochel Pearce, PT
• Phillip T Weller DDS PLLC (Hickory Periodontics)
• John H Piland, M.D.
• Mary Weddington Poetker, PT
• Premier Home Health Care Services
• Premier Home Health Care Services
• Premier Home Health Care Services, Inc.

• Gerontology Occupational Therapist in Conover, NC
• Providers in Conover, NC by specialty
• Gerontology Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.