Active NPI
Jennifer L Hopps, MOTR/L, CAPS
- Environmental Modification Occupational Therapist
- Olympia, WA
National Provider Identifier
1841204880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapist
- License
- OT 00003587
- Practice address
- 805 Carlyon Ave SE
Olympia, WA 98501-3501 - Phone
- (360) 209-4199
- NPI assigned
- Jul 27, 2006
- Last updated
- Feb 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | OT 00003587 | WA | Primary |
Addresses
Primary practice location
805 Carlyon Ave SE
Olympia, WA 98501-3501
Mailing address
805 Carlyon Ave SE
Olympia, WA 98501-3501
Phone (360) 209-4199
Other names 1
- Jennifer L Talley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 00003587 | WA | MD | Environmental Modification Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Empowered, PLLC | Current | Accepting new patients | |
| Adaptive Living, LLC | Past | Accepting new patients |
Locations
6307 Rich Rd SE
Olympia, WA 98501
Phone (360) 349-8606
Organizations & group practices 2
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.
-
- Physical Therapist
- Olympia, WA
- NPI 1912538505
-
- Community/Behavioral Health Agency
- Olympia, WA
- NPI 1275073926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1841204880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 CARLYON AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985013501",
"telephone_number": "360-209-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 CARLYON AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985013501",
"telephone_number": "360-209-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPS",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "MOTR/L, CAPS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "WA",
"license": "OT 00003587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "TALLEY",
"middle_name": "L",
"credential": "MOT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.