Active NPI
Jyoti Sanjay Agarwal, OTR/L
- Occupational Therapist
- Huntsville, AL
National Provider Identifier
1679868491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3147
- Practice address
- 500 Saint Clair Ave SW
Huntsville, AL 35801-5021 - Phone
- (256) 539-5111
- NPI assigned
- Jun 9, 2011
- Last updated
- Jun 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 3147 | AL | Primary |
| Occupational Therapist | 225X00000X | 4105 | TN |
Addresses
Primary practice location
500 Saint Clair Ave SW
Huntsville, AL 35801-5021
Mailing address
101 Waterbury Dr
Harvest, AL 35749-9192
Phone (810) 931-9371
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3147 | AL | MD | General Practice Dentistry |
| 4105 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1679868491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WATERBURY DR",
"city": "HARVEST",
"state": "AL",
"postal_code": "357499192",
"telephone_number": "810-931-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SAINT CLAIR AVE SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015021",
"telephone_number": "256-539-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARWAL",
"first_name": "JYOTI",
"middle_name": "SANJAY",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "3147",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "4105",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
- Sofia Aeschlimann, MD
- Afarr Supportive Care
- Affinity Primary Care LLC
- Affordable Dentures & Implants - Alabama III, LLC (Affordable Dentures & Implants - Huntsville-University)
- Agape of North Alabama, Inc.
- Etete L. Agbabune, MT
- Khushboo Nitin Aggarwal, DMD
- Shelinder Aggarwal, M.D.
- Quratulain Agha, M.D
- Amir Aghaabdollah, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.