Hannah Jacobs, DOT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

7283 Issued in AZ

Practice address

13601 N Litchfield Rd Ste 124
Surprise, AZ 85379-4260

Phone

(623) 322-8250

NPI assigned

Jan 31, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• T.E.a.M. 4 Kids, LLC

  • Pediatric Occupational Therapist
  • Surprise, AZ
  • NPI 1386988723

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1659879062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 N LITCHFIELD RD STE 124",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794260",
            "telephone_number": "623-322-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 N LITCHFIELD RD STE 124",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794260",
            "telephone_number": "623-322-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "HANNAH",
        "credential": "DOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "7283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ladd Jackson, MC, LPC, LISAC, NCGC
• Jeremiah Rashad Jackson
• Kristin Jackson, EDS
• Melissa Jeree Jackson, LPC
• Ryne Jackson, DMD, MSD
• Susan Andrea Jaffe, PT
• Kimberly Jager, FNP
• Emily Rose Jagodzinski
• Mark Andrew Jagodzinski, PT
• Trace Jahner, M.S., CF-SLP

• Pediatric Occupational Therapist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Pediatric Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.