Active NPI
Jeremy Ryan Furniss, OTR/L
- Gerontology Occupational Therapist
- Washington, DC
National Provider Identifier
1558651109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- OT0100006766
- Practice address
- 4101 8TH St NW
Washington, DC 20011-7909 - Phone
- (202) 656-2118
- NPI assigned
- Apr 17, 2011
- Last updated
- Feb 5, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | OT0100006766 | DC | Primary |
| Gerontology Occupational Therapist | 225XG0600X | 0119005205 | VA | |
| Gerontology Occupational Therapist | 225XG0600X | OTR2083 | AR |
Addresses
Primary practice location
4101 8TH St NW
Washington, DC 20011-7909
Mailing address
4101 8TH St NW
Washington, DC 20011-7909
Phone (202) 656-2118
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2083 | AR | MD | Gerontology Occupational Therapist |
| OT0100006766 | DC | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living at Home Consultations, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Washington, DC
- NPI 1437430782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1558651109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 8TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200117909",
"telephone_number": "202-656-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 8TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200117909",
"telephone_number": "202-656-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURNISS",
"first_name": "JEREMY",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-17",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "DC",
"license": "OT0100006766",
"primary": true
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "VA",
"license": "0119005205",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "AR",
"license": "OTR2083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.