Individual provider Active NPI

Jennifer R Stewartz, OTR/L, MS

  • Occupational Therapist
  • Fleming Island, FL
National Provider Identifier
1801556428
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22470 Issued in FL
Practice address
1747 Baptist Clay Dr Ste 210
Fleming Island, FL 32003-8505
Phone
(904) 621-0396
Fax
(904) 621-0397
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 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 OT22470 FL Primary

Addresses

Primary practice location

1747 Baptist Clay Dr Ste 210
Fleming Island, FL 32003-8505

Mailing address

2817 Rock Merritt Ave Womack Army Medical Center
Fort Liberty, NC 28310-7345
Phone (910) 907-8922

Other practice location 1

2817 Rock Merritt Ave Womack Army Medical Center
Fort Liberty, NC 28310-8505
Phone (910) 907-8922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026000252 FL Practitioner - Occupational Therapist in Private Practice 3678949088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Orthopaedic Institute IncGroup PAC ID 5193625499, 60 clinicians

Practice addresses (Care Compare)

1348 S 18TH St
Suite 320a
Fernandina Beach, FL 32034-4785
Phone (904) 557-9021

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Wheelchair Clinic Inc Occupational Therapist CurrentSince Oct 6, 2023 Accepting new patients
Jacksonville Orthopaedic Institute Inc Occupational Therapist CurrentSince Sep 1, 2022 Accepting new patients
Jacksonville Orthopaedic Institute Inc Occupational Therapist PastSince Oct 23, 2022 Accepting new patients
Jacksonville Orthopaedic Institute Inc Occupational Therapist PastSince Sep 1, 2022 Accepting new patients
Jacksonville Orthopaedic Institute Inc Occupational Therapist Past Accepting new patients

Locations

1348 S 18th St
Ste 320A
Fernandina Beach, FL 32034
Phone (904) 557-9021

1747 Baptist Clay Dr
Ste 210
Fleming Island, FL 32003
Phone (904) 621-0396

1325 San Marco Blvd
Ste 200
Jacksonville, FL 32207
Phone (904) 346-3465

12276 San Jose Blvd
Ste 716
Jacksonville, FL 32223
Phone (904) 288-9604

5252 S Tamiami Trl
Ste 16
Sarasota, FL 34231
Phone (801) 440-5592

2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592

Organizations & group practices 5

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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1801556428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283107345",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 BAPTIST CLAY DR STE 210",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038505",
            "telephone_number": "904-621-0396",
            "fax_number": "904-621-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2817 Rock Merritt Ave Womack Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Fort Liberty",
            "state": "NC",
            "postal_code": "283108505",
            "country_code": "US",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWARTZ",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "OTR/L, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.