Jacalyn Ann Griffin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT13765 Issued in FL

Practice address

596 US Highway 27 N
Avon Park, FL 33825-2958

Phone

(863) 314-8555

Fax

(863) 453-4922

NPI assigned

Dec 28, 2005

Last updated

Dec 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• I Care Therapy LLC

  • Occupational Therapist
  • Avon Park, FL
  • NPI 1841960895
  Authorized official Same address or phone
• Angels Touch Therapy LLC

  • Occupational Therapist
  • Altus, OK
  • NPI 1356580377

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1780661959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "580-512-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 US HIGHWAY 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252958",
            "telephone_number": "863-314-8555",
            "fax_number": "863-453-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JACALYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Araceli Gomez, LCSW
• Joshua Tremaine Gordon
• Tammy J Grant, LMT
• Olivia Gray
• Samuel Clyde Gray, MA, LMHC
• Guardian Angels Services LLC
• Health Holdings Company LLC (Palm Medical Centers)
• Heartland Behavioral Homes LLC
• Heavens Angels Services LLC
• Micah Shane Hendrickson, MA

• Occupational Therapist in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.