Jenny Michelle Reine-Baskett, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131002518 Issued in VA

Practice address

200 Hampton Wood Rd
Jackson, NC 27845

Phone

(252) 534-0131

NPI assigned

Aug 4, 2021

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1619641545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 CHAPTICO RD",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701406",
            "telephone_number": "304-550-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAMPTON WOOD RD",
            "city": "JACKSON",
            "state": "NC",
            "postal_code": "27845",
            "telephone_number": "252-534-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Buena Vista Cir",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239701431",
            "country_code": "US",
            "telephone_number": "434-447-3151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINE-BASKETT",
        "first_name": "JENNY",
        "middle_name": "MICHELLE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northampton County
• Northampton County (Northampton Co Amb Services)
• Northampton County DSS
• Northampton County School
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• Terri Martin Revelle, MA, LPA
• Karren Boone Ricks, LCSW
• Rural Health Group, Inc. (Rural Health Group at Jackson/Dental)
• Rural Health Group, Inc. (Rural Health Group at Jackson)

• Occupational Therapy Assistant in Jackson, NC
• Providers in Jackson, NC by specialty
• Occupational Therapy Assistant in North Carolina

• 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.

Verify at the official NPI Registry.