Individual provider Active NPI

Jennifer R Kearns, OTD, OTR/L

  • Occupational Therapist
  • Clearwater, FL
National Provider Identifier
1730704677
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2414 Enterprise Rd
Clearwater, FL 33763-1751
Phone
(727) 461-6026
NPI assigned
Jun 16, 2020
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary
Hand Occupational Therapist 225XH1200X NU

Addresses

Primary practice location

2414 Enterprise Rd
Clearwater, FL 33763-1751

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915
Phone (813) 978-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200813000644 CO Practitioner - Occupational Therapist in Private Practice 3678999265
I20220118001657 FL Practitioner - Occupational Therapist in Private Practice 3678999265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

430 Morton Plant St
Suite 206
Clearwater, FL 33756-3396
Phone (813) 978-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL CurrentSince Nov 12, 2024 Accepting new patients
Musculoskeletal Institute Chartered Occupational Therapist Current Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Jan 10, 2022 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Nov 12, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Jan 10, 2022 Accepting new patients

Locations

2414 Enterprise Rd
Clearwater, FL 33763
Phone (727) 796-4345

2414 Enterprise Rd
Fl Orthopaedic
Clearwater, FL 33763

430 Morton Plant St
Ste 206
Clearwater, FL 33756
Phone (727) 298-5230

430 Morton Plant St
Ste 301
Clearwater, FL 33756

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 219-1932

13020 N Telecom Pkwy
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1730704677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370915",
            "telephone_number": "813-978-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 ENTERPRISE RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631751",
            "telephone_number": "727-461-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.