Active NPI
Jennifer R Jones, OTR/L, CHT
- Occupational Therapist
- Fairview Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056-006388
- Practice address
- 5300 N. Illinois
Ste 101
Fairview Heights, IL 62208 - Phone
- (618) 624-9300
- Fax
- (618) 624-9330
- NPI assigned
- Mar 27, 2007
- Last updated
- Feb 14, 2020
- 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 | 056-006388 | IL | Primary |
Addresses
Primary practice location
5300 N. Illinois
Ste 101
Fairview Heights, IL 62208
Mailing address
600 Oakmont LN
Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other names 1
- Jennifer R Fahey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
1050 Admiral Weinel Blvd
Columbia, IL 62236-1988
Phone (618) 693-3100
14825 N Outer 40 Rd
Suite 300
Chesterfield, MO 63017-0002
Phone (636) 812-1211
1832 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone (636) 327-7110
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-006388 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
Locations
1050 Admiral Weinel Blvd
Columbia, IL 62236
Phone (618) 693-3100
1047 Century Dr
Edwardsville, IL 62025
Phone (618) 307-3434
5300 N Illinois St
#101
Fairview Hts, IL 62208
Phone (618) 222-2222
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
2136 William St
Ste 115
Cape Girardeau, MO 63703
Phone (573) 826-4033
1355 Maple St
Farmington, MO 63640
Phone (573) 756-9900
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
951 Waterbury Falls Dr
O Fallon, MO 63368
Phone (636) 336-0300
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
107 Concord Plaza Shopping Ctr
Saint Louis, MO 63128
Phone (314) 842-2990
107 Progress Pkwy
Sullivan, MO 63080
Phone (573) 860-5901
1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110
Interoperability endpoints
- jennifer.jones.p2@direct.athleticoltd.nextgenshare.com
Organizations & group practices 3
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.
-
dba Athletico Physical Therapy
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
Occupational Therapist
-
dba Athletico Physical Therapy
- Physical Therapist
- Liberty, MO
- NPI 1114449857
Occupational Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1619095437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN",
"address_2": "STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 N. ILLINOIS",
"address_2": "STE 101",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "62208",
"telephone_number": "618-624-9300",
"fax_number": "618-624-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-006388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "FAHEY",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.