Active NPI
Jennifer Elsner McKnight, OTR/L, BCP
- Pediatric Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1558019661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT18505
- Practice address
- 11462 Leatherback CT
Jacksonville, FL 32256-8038 - Phone
- (843) 263-0973
- NPI assigned
- Mar 17, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2498 | SC | |
| Occupational Therapist | 225X00000X | OT18505 | FL | |
| Pediatric Occupational Therapist | 225XP0200X | OT18505 | FL | Primary |
Addresses
Primary practice location
11462 Leatherback CT
Jacksonville, FL 32256-8038
Mailing address
11462 Leatherback CT
Jacksonville, FL 32256-8038
Phone (843) 263-0973
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 |
|---|---|---|---|
| OT18505 | FL | MD | Pediatric Occupational Therapist |
| 2498 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1558019661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11462 LEATHERBACK CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322568038",
"telephone_number": "843-263-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11462 LEATHERBACK CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322568038",
"telephone_number": "843-263-0973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "JENNIFER",
"middle_name": "ELSNER",
"credential": "OTR/L, BCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2498",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18505",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT18505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.