Active NPI
Jenna Rooy
- Occupational Therapist
- Lookout Mountain, GA
National Provider Identifier
1679299713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 37 Brock Dr
Lookout Mountain, GA 30750-2207 - Phone
- (301) 275-4057
- Fax
- (423) 702-4493
- NPI assigned
- Oct 19, 2022
- Last updated
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
37 Brock Dr
Lookout Mountain, GA 30750-2207
Mailing address
1690 Rose Moss CT SE
Smyrna, GA 30082-3969
Phone (301) 275-4057
Other practice location 1
1690 Rose Moss Ct SE
Smyrna, GA 30082-3969
Phone (301) 275-4057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Swallowing Diagnostics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1679299713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 ROSE MOSS CT SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300823969",
"telephone_number": "301-275-4057",
"fax_number": "423-702-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BROCK DR",
"city": "LOOKOUT MOUNTAIN",
"state": "GA",
"postal_code": "307502207",
"telephone_number": "301-275-4057",
"fax_number": "423-702-4493"
}
],
"practiceLocations": [
{
"address_1": "1690 Rose Moss Ct SE",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300823969",
"country_code": "US",
"telephone_number": "301-275-4057",
"fax_number": "423-702-4493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROOY",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lookout Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.