Individual provider Active NPI

Jenna Zavetz, OTR

  • Occupational Therapist
  • Madison, TN
National Provider Identifier
1639780398
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6606 Issued in TN
Practice address
1994 Gallatin Pike N Ste 202
Madison, TN 37115-2024
Phone
(615) 596-1830
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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 6606 TN Primary

Addresses

Primary practice location

1994 Gallatin Pike N Ste 202
Madison, TN 37115-2024

Mailing address

8470 Serrano Cir
Melbourne, FL 32940-8088
Phone (321) 609-1396

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
6606TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellenbecker and Borsellino PLLC CurrentSince Jul 17, 2021 Accepting new patients

Locations

1994 Gallatin Pike N
Ste 202
Madison, TN 37115
Phone (615) 596-1830

Organizations & group practices 1

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1639780398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 SERRANO CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408088",
            "telephone_number": "321-609-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 GALLATIN PIKE N STE 202",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152024",
            "telephone_number": "615-596-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVETZ",
        "first_name": "JENNA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.