Individual provider Active NPI

Jennifer Armentrout, OTR/L

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1780945485
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1310 Issued in AK
Practice address
4325 Laurel St Ste 102
Anchorage, AK 99508-5364
Phone
(907) 313-6077
Fax
(844) 477-1203
NPI assigned
May 30, 2012
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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 1310 AK Primary

Addresses

Primary practice location

4325 Laurel St Ste 102
Anchorage, AK 99508-5364

Mailing address

PO Box 241234
Anchorage, AK 99524-1234
Phone (907) 313-6077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831000532 AK Practitioner - Occupational Therapist in Private Practice 9335545359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1310AKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Child OT, LLC CurrentSince Sep 3, 2025 Accepting new patients
Providence Health & Services- Washington CurrentSince Aug 1, 2021 Accepting new patients
Providence Health & Services-Washington PastSince Aug 1, 2021 Accepting new patients

Locations

3300 Providence Dr
Ste B302
Anchorage, AK 99508
Phone (907) 212-2090

3340 Providence Dr
#A565
Anchorage, AK 99508
Phone (907) 212-2321

4325 Laurel St
Ste 102
Anchorage, AK 99508
Phone (907) 313-6077

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1780945485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241234",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241234",
            "telephone_number": "907-313-6077",
            "fax_number": "844-477-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 LAUREL ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085364",
            "telephone_number": "907-313-6077",
            "fax_number": "844-477-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTROUT",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.