Active NPI
Jennifer Janian, OTR/L
- Occupational Therapist
- Bear, DE
National Provider Identifier
1659104222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10165
- Practice address
- 53 Waterton Dr
Bear, DE 19701-4915 - Phone
- (201) 970-5227
- NPI assigned
- Aug 20, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | U1-0012548 | DE | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 016168 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | 46TR00414300 | NJ | |
| Occupational Therapist | 225X00000X | 10165 | MD | Primary |
Addresses
Primary practice location
53 Waterton Dr
Bear, DE 19701-4915
Mailing address
53 Waterton Dr
Bear, DE 19701-4915
Phone (201) 970-5227
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 |
|---|---|---|---|
| U1-0012548 | DE | MD | Occupational Therapist |
| 46TR00414300 | NJ | MD | Pediatric Occupational Therapist |
| 016168 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1659104222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 WATERTON DR",
"city": "BEAR",
"state": "DE",
"postal_code": "197014915",
"telephone_number": "201-970-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 WATERTON DR",
"city": "BEAR",
"state": "DE",
"postal_code": "197014915",
"telephone_number": "201-970-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANIAN",
"first_name": "JENNIFER",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0012548",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NY",
"license": "016168",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NJ",
"license": "46TR00414300",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "10165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.