Individual provider Active NPI

Jordan Marie Fitzpatrick, OTD/L

  • Occupational Therapist
  • Dublin, OH
National Provider Identifier
1730868787
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT012443 Issued in OH
Practice address
6099 Riverside Dr Ste 207
Dublin, OH 43017-2004
Phone
(740) 953-1184
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 OT012443 OH Primary

Addresses

Primary practice location

6099 Riverside Dr Ste 207
Dublin, OH 43017-2004

Mailing address

6099 Riverside Dr Ste 207
Dublin, OH 43017-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617001520 OH Practitioner - Occupational Therapist in Private Practice 1456894674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Ohio State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Therapy LLCGroup PAC ID 5890122816, 109 clinicians

Practice addresses (Care Compare)

6099 Riverside Dr
Suite 207
Dublin, OH 43017-2004
Phone (740) 953-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT012443OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Therapy LLC Occupational Therapist CurrentSince Apr 15, 2024 Accepting new patients

Locations

6099 Riverside Dr
Ste 207
Dublin, OH 43017
Phone (614) 271-2625

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1730868787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 RIVERSIDE DR STE 207",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 RIVERSIDE DR STE 207",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172004",
            "telephone_number": "740-953-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JORDAN",
        "middle_name": "MARIE",
        "credential": "OTD/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.