Individual provider Active NPI

Jennifer Paige Gerst, DOT, OTR/L

  • Occupational Therapist
  • Jacksonville, NC
National Provider Identifier
1629845813
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16425 Issued in NC
Practice address
2145 Country Club Rd Ste 200
Jacksonville, NC 28546-2404
Phone
(252) 726-1802
Fax
(252) 726-1805
NPI assigned
Dec 7, 2023
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 16425 NC Primary

Addresses

Primary practice location

2145 Country Club Rd Ste 200
Jacksonville, NC 28546-2404

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (252) 726-1802

Other practice location 1

201 Williamsburg Pkwy
Jacksonville, NC 28546-6856
Phone (252) 634-2676

Other identifiers 1

IdentifierTypeStateIssuer
16425OtherNCOT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227003377 NC Practitioner - Occupational Therapist in Private Practice 9638529043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16425NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Current Accepting new patients
Carolinaeast Physicians CurrentSince Dec 13, 2023 Accepting new patients
Emergeortho PA Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients
Carolinaeast Physicians CurrentSince Dec 13, 2023 Accepting new patients
Emergeortho PA CurrentSince Jan 1, 2025 Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

201 Williamsburg Pkwy
Jacksonville, NC 28546
Phone (252) 634-2626

2145 Country Club Rd
Ste 200
Jacksonville, NC 28546
Phone (910) 939-5937

2145 Country Club Rd
Ste 800
Jacksonville, NC 28546
Phone (910) 939-5759

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Organizations & group practices 5

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1629845813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "252-726-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 COUNTRY CLUB RD STE 200",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285462404",
            "telephone_number": "252-726-1802",
            "fax_number": "252-726-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Williamsburg Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466856",
            "country_code": "US",
            "telephone_number": "252-634-2676",
            "fax_number": "910-353-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERST",
        "first_name": "JENNIFER",
        "middle_name": "PAIGE",
        "credential": "DOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "16425",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.

Verify at the official NPI Registry.