Active NPI
Jennifer Lyn Annunziata, OCCUPATIONAL THERAPI
- Occupational Therapist
- Plymouth, MN
National Provider Identifier
1760658199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103567
- Practice address
- 14130 23Rd Avenue North
Therapy Junction
Plymouth, MN 55447 - Phone
- (763) 383-7666
- Fax
- (763) 383-6016
- NPI assigned
- May 6, 2008
- 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 | 103567 | MN | Primary |
Addresses
Primary practice location
14130 23Rd Avenue North
Therapy Junction
Plymouth, MN 55447
Mailing address
14130 23Rd Avenue North
Therapy Junction
Plymouth, MN 55447
Phone (763) 383-7666
Other names 1
- Jennifer Lyn Miller
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103567 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1760658199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14130 23RD AVENUE NORTH",
"address_2": "THERAPY JUNCTION",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55447",
"telephone_number": "763-383-7666",
"fax_number": "763-383-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14130 23RD AVENUE NORTH",
"address_2": "THERAPY JUNCTION",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55447",
"telephone_number": "763-383-7666",
"fax_number": "763-383-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNUNZIATA",
"first_name": "JENNIFER",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MILLER",
"middle_name": "LYN",
"credential": "OCCUPATIONAL THERAPI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Plymouth, MN
- Susan Anderson, PHARM D
- Laura Utz Anderton, NP
- Anjani Sahaay LLC (Home Helpers Home Care of Eden Prairie, MN)
- Anne Byer PHD Licensed Psychologist PLLC
- Anne Silverman Consulting LLC
- Karen Gail Anonsen, CRNA
- Heather Marie Anton, MA, LPCC
- Khrystyna Antonova, NP
- Blessing Anyanwu, RN
- Arbor Audiology LLC (Affinity Hearing)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.