Active NPI
Jennifer Derry, C.O.T.A.
- Occupational Therapy Assistant
- Towson, MD
National Provider Identifier
1710127998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- A00737
- Practice address
- 7401 Osler Dr
Suite 110
Towson, MD 21204-7673 - Phone
- (410) 296-8888
- Fax
- (410) 296-6745
- NPI assigned
- Feb 27, 2009
- 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 Therapy Assistant | 224Z00000X | A00737 | MD | Primary |
Addresses
Primary practice location
7401 Osler Dr
Suite 110
Towson, MD 21204-7673
Mailing address
7719 Daniels Ave
Parkville, MD 21234-6913
Phone (410) 428-6367
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 |
|---|---|---|---|
| A00737 | MD | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1710127998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7719 DANIELS AVE",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212346913",
"telephone_number": "410-428-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 OSLER DR",
"address_2": "SUITE 110",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047673",
"telephone_number": "410-296-8888",
"fax_number": "410-296-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERRY",
"first_name": "JENNIFER",
"credential": "C.O.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-27",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MD",
"license": "A00737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.