Individual provider Active NPI

Annese Jaffery Geraci, OT

  • Occupational Therapist
  • Germantown, TN
National Provider Identifier
1780457465
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6317 Issued in TN
Practice address
2100 Exeter Rd Ste 210
Germantown, TN 38138-3966
Phone
(901) 701-5604
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 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 6317 TN Primary

Addresses

Primary practice location

2100 Exeter Rd Ste 210
Germantown, TN 38138-3966

Mailing address

1451 Estate Dr
Memphis, TN 38119-5901

Other practice location 1

7424 US Highway 64 Ste 112
Bartlett, TN 38133-8937
Phone (901) 385-3877

Other practice location 2

2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350

Other practice location 3

2120 Exeter Rd Ste 140
Germantown, TN 38138-3964
Phone (901) 757-3496

Other names 1

  • Annese Jaffery Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218002271 TN Practitioner - Occupational Therapist in Private Practice 9335598085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6317TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Nov 8, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Nov 8, 2023 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

7424 US Highway 64
Ste 112
Bartlett, TN 38133
Phone (901) 385-3877

2100 Exeter Rd
Ste 210
Germantown, TN 38138
Phone (901) 701-5604

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

Organizations & group practices 3

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": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1780457465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ESTATE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EXETER RD STE 210",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383966",
            "telephone_number": "901-701-5604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7424 US Highway 64 Ste 112",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381338937",
            "country_code": "US",
            "telephone_number": "901-385-3877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Exeter Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383966",
            "country_code": "US",
            "telephone_number": "901-757-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Exeter Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383964",
            "country_code": "US",
            "telephone_number": "901-757-3496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERACI",
        "first_name": "ANNESE",
        "middle_name": "JAFFERY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNESE",
            "last_name": "JAFFERY",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.