Benjamin Bradley Jennings

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA16231 Issued in FL

Practice address

619 S. Marion Ave
PM & RS OT
Lake City, FL 32025

Phone

(386) 755-3016

NPI assigned

Oct 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1649813593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ORANGE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485138",
            "telephone_number": "989-882-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S. MARION AVE",
            "address_2": "PM & RS OT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-755-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "BENJAMIN",
        "middle_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Jarrell, DMD
• Richard N Jaskiewicz, MD
• Jean-Felert Cadet MD, PA
• Marie Jean-Louis
• Jessica Jenkins
• Tybresha Jennings
• Alvin Dwayne Jernigan Sr.
• Andrea Jernigan, DPT
• Brittnee Jernigan
• Shalea Jernigan

• Occupational Therapy Assistant in Lake City, FL
• Providers in Lake City, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.