Active NPI
Jill A Hudson, OTRL CHT
- Occupational Therapist
- Pensacola, FL
National Provider Identifier
1679531222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10277
- Practice address
- 4541 North Davis Hwy
Suite a
Pensacola, FL 32503 - Phone
- (850) 494-9000
- Fax
- (850) 476-3031
- NPI assigned
- May 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT10277 | FL | Primary |
| Hand Occupational Therapist | 225XH1200X | OT10277 | FL |
Addresses
Primary practice location
4541 North Davis Hwy
Suite a
Pensacola, FL 32503
Mailing address
4551 North Davis Hwy
Suite C
Pensacola, FL 32503
Phone (850) 476-4774
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00602579 | Other | FL | MEDICARE RAILROAD |
| Z149E | Other | FL | BCBS FLORIDA |
| 59197642 | Other | AL | BCBS OF ALABAMA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1679531222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4551 NORTH DAVIS HWY",
"address_2": "SUITE C",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32503",
"telephone_number": "850-476-4774",
"fax_number": "850-476-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4541 NORTH DAVIS HWY",
"address_2": "SUITE A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32503",
"telephone_number": "850-494-9000",
"fax_number": "850-476-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "JILL",
"middle_name": "A",
"credential": "OTRL CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT10277",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "FL",
"license": "OT10277",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00602579",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FLORIDA",
"identifier": "Z149E",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "59197642",
"state": "AL"
}
],
"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 Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.