Active NPI
Jean Owsley, OTRL
- Occupational Therapist
- Boca Raton, FL
National Provider Identifier
1699966069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR346
- Practice address
- 5901 Broken Sound Parkway NW
Suite 500
Boca Raton, FL 33487 - Phone
- (800) 875-8999
- Fax
- (561) 367-0884
- NPI assigned
- Aug 9, 2007
- 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 | OT8332 | CA | |
| Occupational Therapist | 225X00000X | OTR346 | WY | Primary |
Addresses
Primary practice location
5901 Broken Sound Parkway NW
Suite 500
Boca Raton, FL 33487
Mailing address
1219 Johnson Street
Thermopolis, WY 82443
Phone (307) 921-9928
Other names 1
- Miss Jean Anderson
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 |
|---|---|---|---|
| OT8332 | CA | MD | Occupational Therapist |
| OTR346 | WY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Club Staffing | Past | Accepting new patients | |
| Club Staffing | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1568652972
-
- Long Term Care Hospital
- Fredericksburg, VA
- NPI 1952509788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1699966069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 JOHNSON STREET",
"city": "THERMOPOLIS",
"state": "WY",
"postal_code": "82443",
"telephone_number": "307-921-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 BROKEN SOUND PARKWAY NW",
"address_2": "SUITE 500",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33487",
"telephone_number": "800-875-8999",
"fax_number": "561-367-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWSLEY",
"first_name": "JEAN",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT8332",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OTR346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "ANDERSON",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.