Active NPI
Jenna Marie Kroeger, MOTR/L
- Occupational Therapist
- Elida, OH
National Provider Identifier
1548700321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT009270
- Practice address
- 8815 Piquad Rd
Elida, OH 45807-9441 - Phone
- (567) 204-6488
- NPI assigned
- Feb 27, 2017
- 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 | OT009270 | OH | Primary |
Addresses
Primary practice location
8815 Piquad Rd
Elida, OH 45807-9441
Mailing address
8815 Piquad Rd
Elida, OH 45807-9441
Phone (567) 204-6488
Other names 1
- Miss Jenna Marie Faurot
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1548700321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8815 PIQUAD RD",
"city": "ELIDA",
"state": "OH",
"postal_code": "458079441",
"telephone_number": "567-204-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8815 PIQUAD RD",
"city": "ELIDA",
"state": "OH",
"postal_code": "458079441",
"telephone_number": "567-204-6488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEGER",
"first_name": "JENNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT009270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "FAUROT",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "MOTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elida, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.