Individual provider Active NPI

Jennie Lynn Baldwin, OTR/L

  • Occupational Therapist
  • Brandon, MS
National Provider Identifier
1629379003
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2044 Issued in MS
Practice address
1476 W Government St Ste B
Brandon, MS 39042-3051
Phone
(601) 914-6440
NPI assigned
Nov 16, 2010
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2044 MS Primary
Occupational Therapist 225X00000X OTR2175 AR

Addresses

Primary practice location

1476 W Government St Ste B
Brandon, MS 39042-3051

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone (601) 605-6777

Other names 1

  • Jennie Lynn Garrett Former name

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

LicenseStateTypeSpecialty
OTR2175ARMDOccupational Therapist
OT2044MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Occupational Therapist CurrentSince Dec 19, 2024 Accepting new patients
Dpti Elite Physical Therapy LLC CurrentSince Dec 19, 2024 Accepting new patients
Drayer Physcial Therapy Mississippi LLC Occupational Therapist CurrentSince Dec 19, 2024 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Dec 19, 2024 Accepting new patients
Benchmark Physical Therapy of Mississippi LLC Occupational Therapist CurrentSince Dec 19, 2024 Accepting new patients
Drayer Physical Therapy Mississippi LLC Occupational Therapist CurrentSince Dec 19, 2024 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Dec 19, 2024 Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1476 W Government St
#B
Brandon, MS 39042
Phone (601) 914-6440

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

4010 Bienville Blvd
Unit E
Ocean Springs, MS 39564
Phone (228) 300-6001

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

3451 Goodman Rd E
Ste 108
Southaven, MS 38672
Phone (662) 253-9060

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1629379003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 W GOVERNMENT ST STE B",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423051",
            "telephone_number": "601-914-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Avignon Dr",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391575120",
            "country_code": "US",
            "telephone_number": "601-605-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "JENNIE",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2044",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "GARRETT",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.