Active NPI
Jennifer Jo Brackney, MS OTR
- Occupational Therapist
- Plainfield, IN
National Provider Identifier
1699389155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31003098A
- Practice address
- 5422 E County Road 600 S
Plainfield, IN 46168-8638 - Phone
- (317) 836-5484
- NPI assigned
- Sep 2, 2020
- Last updated
- Sep 2, 2020
- 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 | 31003098A | IN | Primary |
Addresses
Primary practice location
5422 E County Road 600 S
Plainfield, IN 46168-8638
Mailing address
4733 Mecklenburg Dr
Plainfield, IN 46168-8450
Phone (317) 560-8210
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31003098A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1699389155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 MECKLENBURG DR",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461688450",
"telephone_number": "317-560-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5422 E COUNTY ROAD 600 S",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461688638",
"telephone_number": "317-836-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKNEY",
"first_name": "JENNIFER",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "MS OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31003098A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.