Active NPI
Jena Guida, MS, OTR/L
- Occupational Therapist
- McDonough, GA
National Provider Identifier
1699211896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006641
- Practice address
- 1350 Pennsylvania Ave
McDonough, GA 30253-9110 - Phone
- (844) 543-8437
- Fax
- (844) 543-8437
- NPI assigned
- Jan 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006641 | GA | Primary |
Addresses
Primary practice location
1350 Pennsylvania Ave
McDonough, GA 30253-9110
Mailing address
709 Crescent Cir
Canton, GA 30115-4772
Phone (844) 543-8437
Other names 1
- Jena Guida
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Ga, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1699211896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 CRESCENT CIR",
"city": "CANTON",
"state": "GA",
"postal_code": "301154772",
"telephone_number": "844-543-8437",
"fax_number": "844-543-8437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 PENNSYLVANIA AVE",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302539110",
"telephone_number": "844-543-8437",
"fax_number": "844-543-8437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDA",
"first_name": "JENA",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENA",
"last_name": "GUIDA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.