Active NPI
Jennifer C. Dennis, COTA
- Occupational Therapy Assistant
- Cochran, GA
National Provider Identifier
1649485137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA090926
- Practice address
- RT. 3 Box 2110 Country Club Rd.
Cochran, GA 31014 - Phone
- (478) 934-6428
- NPI assigned
- May 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | OTA090926 | GA | Primary |
| Occupational Therapy Assistant | 224Z00000X | OTA 10286 | FL |
Addresses
Primary practice location
RT. 3 Box 2110 Country Club Rd.
Cochran, GA 31014
Mailing address
RT. 3 Box 2110 Country Club Rd.
Cochran, GA 31014
Phone (478) 934-6428
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 |
|---|---|---|---|
| OTA 10286 | FL | MD | Occupational Therapy Assistant |
| OTA090926 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649485137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RT. 3 BOX 2110 COUNTRY CLUB RD.",
"city": "COCHRAN",
"state": "GA",
"postal_code": "31014",
"telephone_number": "478-934-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT. 3 BOX 2110 COUNTRY CLUB RD.",
"city": "COCHRAN",
"state": "GA",
"postal_code": "31014",
"telephone_number": "478-934-6428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "JENNIFER",
"middle_name": "C.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA090926",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA 10286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cochran, GA
- Kari Coody, PHARM D
- Covenant Chiropractic Center PC
- Dav-Way Investments, Inc (Hospice of Middle Georgia)
- Dav-Way Investments, Inc (Medical Supplies of Central Georgia)
- Alena Caroline Dayhoff
- Dr Dudley B Christie Jr (christie eye care)
- Dr. Bill's Kids, PC
- Dr. Richard C. Anderson
- Nikki Dubois, CCC-SLP
- Robert Alan Dykes, PHARM D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.