Jenna Price, MOT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT006924 Issued in GA

Practice address

1204 Hospitality Ave Ste E
Kingsland, GA 31548-6811

Phone

(912) 996-2069

Fax

(912) 265-0041

NPI assigned

May 2, 2008

Last updated

Dec 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Therapies of SE Ga, LLC

  • Pediatric Occupational Therapist
  • Kingsland, GA
  • NPI 1710346267

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512259200000",
    "number": "1558537209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 BRAZELL LN",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486779",
            "telephone_number": "904-955-1032",
            "fax_number": "912-265-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 HOSPITALITY AVE STE E",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486811",
            "telephone_number": "912-996-2069",
            "fax_number": "912-265-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JENNA",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2017-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OTT13091",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT006924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Pickler, MOT, OTR/L
• Linda Edna Poloff, DMD
• Courtney Marie Popwell, DNP
• Margaret Peek Powell, LPC
• Olivia Pressel
• Keywanna Nichole Price, NP-C
• Publix Super Markets Inc (Publix Pharmacy #0455)
• Robin L Rapp, MT
• Redesign Your Life Counseling LLC
• Reliance Sleep Centers of America Inc (Reliance Sleep Center)

• Pediatric Occupational Therapist in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2017; 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.