Individual provider Active NPI

Ally Jenkins

  • Occupational Therapist
  • Palm Desert, CA
National Provider Identifier
1730069378
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
28128 Issued in CA
Practice address
77564 Country Club Dr Ste 401B
Palm Desert, CA 92211-6246
Phone
(760) 772-2838
Fax
(760) 772-2883
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 28128 CA Primary

Addresses

Primary practice location

77564 Country Club Dr Ste 401B
Palm Desert, CA 92211-6246

Mailing address

77564 Country Club Dr Ste 401B
Palm Desert, CA 92211-6246
Phone (760) 772-2838

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

LicenseStateTypeSpecialty
28128CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Occupational Therapy for Kids Inc. PastSince Sep 8, 2025 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1730069378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 401B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116246",
            "telephone_number": "760-772-2838",
            "fax_number": "760-772-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 401B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116246",
            "telephone_number": "760-772-2838",
            "fax_number": "760-772-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ALLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "28128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.