Active NPI
Jeanette C Jones, MOTR L
- Occupational Therapist
- Hallowell, ME
National Provider Identifier
1750473138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0552
- Practice address
- 71 Water St
#34
Hallowell, ME 04347 - Phone
- (520) 400-9055
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 8, 2007
- 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 | 0552 | AZ | Primary |
Addresses
Primary practice location
71 Water St
#34
Hallowell, ME 04347
Mailing address
3306 W Desert Bend Loop
Tucson, AZ 85742
Phone (520) 400-9055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA404103 | Other | NBCOT |
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 |
|---|---|---|---|
| 0552 | AZ | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750473138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 W DESERT BEND LOOP",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85742",
"telephone_number": "520-400-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 WATER ST",
"address_2": "#34",
"city": "HALLOWELL",
"state": "ME",
"postal_code": "04347",
"telephone_number": "520-400-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JEANETTE",
"middle_name": "C",
"credential": "MOTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "0552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "AA404103",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hallowell, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.