Active NPI
Jolynn Renee Dyer
- Occupational Therapist
- Largo, FL
National Provider Identifier
1518249648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT14603
- Practice address
- 8254 118TH Ave Unit 100
Unit 100
Largo, FL 33773 - Phone
- (727) 541-5304
- NPI assigned
- Sep 14, 2011
- Last updated
- Mar 17, 2018
- 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 | OT14603 | FL | Primary |
Addresses
Primary practice location
8254 118TH Ave Unit 100
Unit 100
Largo, FL 33773
Mailing address
474 92ND Ave. N
St. Petersburg, FL 33702
Other practice location 1
6321 113th Street #104
Seminole, FL 33772
Phone (607) 382-8148
Other names 1
- Ms. Jolynn Renee Feenaughty
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 |
|---|---|---|---|
| OT14603 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1518249648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 92ND AVE. N",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8254 118TH AVE UNIT 100",
"address_2": "UNIT 100",
"city": "LARGO",
"state": "FL",
"postal_code": "33773",
"telephone_number": "727-541-5304"
}
],
"practiceLocations": [
{
"address_1": "6321 113th Street #104",
"address_purpose": "LOCATION",
"city": "Seminole",
"state": "FL",
"postal_code": "33772",
"country_code": "US",
"telephone_number": "607-382-8148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYER",
"first_name": "JOLYNN",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT14603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOLYNN",
"last_name": "FEENAUGHTY",
"middle_name": "RENEE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Largo, FL
- Ashton Dutenhaver
- Stephen T Duvall, P.T.
- Dwic of Tampa Bay, Inc. (MedExpress Urgent Care - Largo)
- John Christopher Dwyer
- Stephanie Taylor Dye, DMD, MS
- Dynamic Behavior Consulting, LLC
- Kelly Jo Dyson, M.A., CCC-A
- East Bay Accident & Wellness Center
- East Bay Cde, LLC
- East Bay Dental LLC (East Bay Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.