Jennifer Bach, OTD, OTR/L, CLVT

Primary specialty

Low Vision Occupational TherapistTaxonomy code 225XL0004X

License

2010008354 Issued in MO

Practice address

1 Jefferson Barracks Drive
Low Vision Clinic, Room 1a-110
Saint Louis, MO 63125-4199

Phone

(314) 652-4100

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1801676846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 MAYLOR DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631233442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JEFFERSON BARRACKS DRIVE",
            "address_2": "LOW VISION CLINIC, ROOM 1A-110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254199",
            "telephone_number": "314-652-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "JENNIFER",
        "credential": "OTD, OTR/L, CLVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "MO",
            "license": "2010008354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babyation Inc.
• Annette Baca, RN
• Patricia Anne Baca, LMSW
• Christopher Richard Bach
• Haili Bach, DO
• Loren Nathan Bach, M.D.
• Richard G Bach, MD
• William Gary Bachman, OD
• Christopher Andrew Bachmann, BSMT
• Jessica Adlof Bachmann, ACNP

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.