Individual provider Active NPI

Jennifer Hogue, OTR

  • Occupational Therapist
  • Pensacola, FL
National Provider Identifier
1659398535
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT8250 Issued in FL
Practice address
9020 University Pkwy
Pensacola, FL 32514-5524
Phone
(850) 712-9826
Fax
(850) 610-4705
NPI assigned
Jul 16, 2006
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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 OT8250 FL Primary

Addresses

Primary practice location

9020 University Pkwy
Pensacola, FL 32514-5524

Mailing address

915 Deedra Ave
Pensacola, FL 32514-1519
Phone (850) 712-9826

Other practice location 1

1419 N Palafox St
Pensacola, FL 32501-2642
Phone (850) 712-9826

Other identifiers 1

IdentifierTypeStateIssuer
884211600MedicaidFL

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
OT8250FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1659398535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 DEEDRA AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141519",
            "telephone_number": "850-712-9826",
            "fax_number": "850-610-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 UNIVERSITY PKWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145524",
            "telephone_number": "850-712-9826",
            "fax_number": "850-610-4705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 N Palafox St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325012642",
            "country_code": "US",
            "telephone_number": "850-712-9826",
            "fax_number": "850-610-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT8250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884211600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.