Individual provider Active NPI

Jenna Marie Thiemann

  • Pediatric Occupational Therapist
  • Jersey City, NJ
National Provider Identifier
1619637253
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR01010600 Issued in NJ
Practice address
35 Journal Square PLZ Ste 610
Jersey City, NJ 07306-3871
Phone
(551) 247-1306
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR01010600 NJ Primary

Addresses

Primary practice location

35 Journal Square PLZ Ste 610
Jersey City, NJ 07306-3871

Mailing address

14 Pawnee Ave
Lake Hiawatha, NJ 07034-3106
Phone (973) 294-4689

Other practice location 1

299 Cherry Hill Rd Ste 108
Parsippany, NJ 07054-1124
Phone (833) 587-1784

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

LicenseStateTypeSpecialty
46TR01010600NJMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Development PastSince Apr 28, 2024 Accepting new patients
Positive Development Medical of New Jersey PC PastSince Jul 31, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1619637253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PAWNEE AVE",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070343106",
            "telephone_number": "973-294-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOURNAL SQUARE PLZ STE 610",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063871",
            "telephone_number": "551-247-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Cherry Hill Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070541124",
            "country_code": "US",
            "telephone_number": "833-587-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIEMANN",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR01010600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.