Active NPI
Jacalyn Renee Reagan, OTR/L
- Occupational Therapist
- Forest Hill, MD
National Provider Identifier
1760723720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 03800
- Practice address
- 12 Newport Dr
Suite C
Forest Hill, MD 21050-1758 - Phone
- (410) 838-2200
- NPI assigned
- Mar 14, 2013
- 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 | 03800 | MD | Primary |
Addresses
Primary practice location
12 Newport Dr
Suite C
Forest Hill, MD 21050-1758
Mailing address
321 Streett Cir
Forest Hill, MD 21050-3070
Phone (410) 420-8638
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 |
|---|---|---|---|
| 03800 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1760723720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 STREETT CIR",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210503070",
"telephone_number": "410-420-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 NEWPORT DR",
"address_2": "SUITE C",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210501758",
"telephone_number": "410-838-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAGAN",
"first_name": "JACALYN",
"middle_name": "RENEE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "03800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.