Jennifer Lindsey Harless, OTR, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

0119000261 Issued in VA

Practice address

131 Jennick Dr
Colonial Heights, VA 23834-4905

Phone

(804) 526-5888

Fax

(804) 526-5401

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Virginia Commonwealth University, School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Virtual OT LLCGroup PAC ID 9638589302, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• My Virtual OT, LLC

  • Gerontology Occupational Therapist
  • Midlothian, VA
  • NPI 1598384208
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1659304293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 RIVERS BEND BLVD",
            "address_2": "STE D",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238368632",
            "telephone_number": "804-571-5106",
            "fax_number": "804-530-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 JENNICK DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238344905",
            "telephone_number": "804-526-5888",
            "fax_number": "804-526-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLESS",
        "first_name": "JENNIFER",
        "middle_name": "LINDSEY",
        "name_prefix": "Mrs.",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119000261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659304293",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00401744",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H2O Aesthetics and Wellness, LLC
• Alicia Haase
• Audra L Hainer, PHARM.D.
• Shaun Hairston, DC
• Bernadette Wiley Hall, PT
• Patrice Jones Harmon, D.M.D, MSD
• Jordan Driskill Harris, CCC-SLP
• Michele Harris, ED.S
• Jennifer Hartman, LCSW
• Megan Sinclair Harvey, FNP-C

• Hand Occupational Therapist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Hand Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.