Active NPI
Jennifer Solomon, OTR/L
- Occupational Therapist
- Ponte Vedra Beach, FL
National Provider Identifier
1700351467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19247
- Practice address
- 145 Hilden Rd Ste 113
Ponte Vedra Beach, FL 32081-8401 - Phone
- (904) 652-5408
- NPI assigned
- Oct 9, 2018
- 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 | 19247 | FL | Primary |
Addresses
Primary practice location
145 Hilden Rd Ste 113
Ponte Vedra Beach, FL 32081-8401
Mailing address
13051 Gran Bay Pkwy Unit 1228
Jacksonville, FL 32258-6512
Phone (203) 482-2920
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 |
|---|---|---|---|
| 19247 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Speech Therapy | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Ponte Vedra, FL
- NPI 1053855452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1700351467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13051 GRAN BAY PKWY UNIT 1228",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322586512",
"telephone_number": "203-482-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HILDEN RD STE 113",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320818401",
"telephone_number": "904-652-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "JENNIFER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "19247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.