Individual provider Active NPI

Jarrett Jamal Dottin, OTR/L, MOT, CLWT

  • Occupational Therapist
  • Land O' Lakes, FL
National Provider Identifier
1841565520
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15204 Issued in FL
Practice address
17580 Nectar Flume Dr
Land O Lakes, FL 34638-5852
Phone
(727) 947-2128
NPI assigned
Mar 14, 2012
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10274 MA
Occupational Therapist 225X00000X OT15204 FL Primary

Addresses

Primary practice location

17580 Nectar Flume Dr
Land O Lakes, FL 34638-5852

Mailing address

17580 Nectar Flume Dr
Land O Lakes, FL 34638-5852
Phone (727) 947-2128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803002898 FL Practitioner - Occupational Therapist in Private Practice 6901200658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lymph at Home, LLCGroup PAC ID 6800311812, 3 clinicians

Practice addresses (Care Compare)

Clearwater, FL 33756
Phone (727) 349-3511

17580 Nectar Flume Dr
Land O Lakes, FL 34638-5852
Phone (727) 947-2128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10274MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JD the OT Occupational Therapist CurrentSince May 1, 2021 Accepting new patients

Locations

1679 Indian Rocks Rd S
Ste A
Largo, FL 33774
Phone (727) 222-3762

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1841565520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17580 NECTAR FLUME DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385852",
            "telephone_number": "727-947-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17580 NECTAR FLUME DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346385852",
            "telephone_number": "727-947-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTTIN",
        "first_name": "JARRETT",
        "middle_name": "JAMAL",
        "name_prefix": "Mr.",
        "credential": "OTR/L, MOT, CLWT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10274",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.