Individual provider Active NPI

Jennifer L Hopps, MOTR/L, CAPS

  • Environmental Modification Occupational Therapist
  • Olympia, WA
National Provider Identifier
1841204880
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational TherapistTaxonomy code 225XE0001X
License
OT 00003587 Issued in WA
Practice address
805 Carlyon Ave SE
Olympia, WA 98501-3501
Phone
(360) 209-4199
NPI assigned
Jul 27, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060929000072 WA Practitioner - Occupational Therapist in Private Practice 1052316817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 00003587WAMDEnvironmental Modification Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Empowered, PLLC CurrentSince Jun 2, 2023 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.

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.

Verify at the official NPI Registry.