Jennifer L Gendeman, OTD, OTR/L, SCLV

Primary specialty

Low Vision Occupational TherapistTaxonomy code 225XL0004X

License

131122 Issued in KY

Practice address

3309 Wellingmoor Ave
Louisville, KY 40218

Phone

(630) 712-7167

NPI assigned

Feb 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Washington University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cincinnati Association for the BlindGroup PAC ID 1759451529, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cincinnati Association for the Blind

  dba Cincinnati Association for the Blind and Visually Impaired

  • Voluntary or Charitable Agency
  • Cincinnati, OH
  • NPI 1689880981
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1770881708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 WELLINGMOOR AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181028",
            "telephone_number": "630-712-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 WELLINGMOOR AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40218",
            "telephone_number": "630-712-7167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3309 Wellingmoor Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40218",
            "country_code": "US",
            "telephone_number": "630-712-7167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENDEMAN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "OTD, OTR/L, SCLV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "KS",
            "license": "T02895",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "KY",
            "license": "131122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100225350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Scott Gelburd
• David R. Geller, M.D.
• Abigail Ruth Gellert, MD
• Katherine Clayton Gemperline, AU.D.
• Thomas Joseph Genardi, RPH
• Amy Gendron
• Ladonna Genenwein
• Genesis Eldercare Physician Services LLC
• Genesis Family Support Services
• Genesis Family Support Services, Inc.

• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.