Individual provider Active NPI

Jennifer Leigh Diquattro, OTA/L

  • Pediatric Occupational Therapist
  • Mobile, AL
National Provider Identifier
1790120079
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
7048 Issued in AL
Practice address
1000 Hillcrest Rd
Mobile, AL 36695-3994
Phone
(251) 586-8040
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3165 SC
Pediatric Occupational Therapist 225XP0200X 7048 AL Primary

Addresses

Primary practice location

1000 Hillcrest Rd
Mobile, AL 36695-3994

Mailing address

5551 Quail Run E
Theodore, AL 36582-8809
Phone (251) 349-2234

Other practice location 1

2448 Gordon Smith Dr
Mobile, AL 36617-2319
Phone (251) 422-1827

Other practice location 2

200 Laconia Dr
Travelers Rest, SC 29690-9475
Phone (864) 610-9287

Other practice location 3

669 Azalea Rd
Mobile, AL 36609-1515
Phone (251) 422-1827

Other practice location 4

26420 Kensington Pl Ste C
Daphne, AL 36526-5123
Phone (251) 517-0355

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

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1790120079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 QUAIL RUN E",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365828809",
            "telephone_number": "251-349-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HILLCREST RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953994",
            "telephone_number": "251-586-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2448 Gordon Smith Dr",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172319",
            "country_code": "US",
            "telephone_number": "251-422-1827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Laconia Dr",
            "address_purpose": "LOCATION",
            "city": "Travelers Rest",
            "state": "SC",
            "postal_code": "296909475",
            "country_code": "US",
            "telephone_number": "864-610-9287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "669 Azalea Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366091515",
            "country_code": "US",
            "telephone_number": "251-422-1827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26420 Kensington Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365265123",
            "country_code": "US",
            "telephone_number": "251-517-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIQUATTRO",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "OTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3165",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "7048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.