Active NPI
Jacqueline Jagger, OTR/L
- Occupational Therapist
- Hopewell, VA
National Provider Identifier
1639403439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005635
- Practice address
- 201 Eppes St
Hopewell, VA 23860-2717 - Phone
- (617) 288-8749
- NPI assigned
- Sep 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 006265 | OH | |
| Occupational Therapist | 225X00000X | 0119005635 | VA | Primary |
Addresses
Primary practice location
201 Eppes St
Hopewell, VA 23860-2717
Mailing address
201 Eppes Street
Hopewell, VA 23860-2279
Phone (617) 288-8749
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006265 | OH | MD | Occupational Therapist |
| 0119005635 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1639403439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 EPPES STREET",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238602279",
"telephone_number": "617-288-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 EPPES ST",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238602717",
"telephone_number": "617-288-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGGER",
"first_name": "JACQUELINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "006265",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopewell, VA
- Infectious Disease Associates of America PC
- Infectious Diseases & Epidemiology PC
- Stacy R Ingram-Hanson, NP
- Intratrillion Solutions LLC
- James Franklin Jacobs, PH.D.
- James F Jacobs, PH.D., LMFT (James F. Jacobs, Ph.D.)
- James River Emergency Group, LLC
- James River Hospitalist Group, LLC
- Regina Juel James
- Sierra James
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.