Active NPI
Jon W Pridgen, OTR/L
- Occupational Therapist
- Montgomery, AL
National Provider Identifier
1851074728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4846
- Practice address
- 4367 Atlanta Hwy
Montgomery, AL 36109-3171 - Phone
- (334) 558-0906
- NPI assigned
- Aug 8, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4846 | AL | Primary |
Addresses
Primary practice location
4367 Atlanta Hwy
Montgomery, AL 36109-3171
Mailing address
4367 Atlanta Hwy
Montgomery, AL 36109-3171
Phone (334) 558-0906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4846 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1851074728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4367 ATLANTA HWY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361093171",
"telephone_number": "334-558-0906",
"fax_number": "334-358-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4367 ATLANTA HWY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361093171",
"telephone_number": "334-558-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDGEN",
"first_name": "JON",
"middle_name": "W",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "4846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
- Pri Med Physicians, Inc (All Med at Chantilly)
- Pri Med Physicians, Inc (All Med at Dalraida)
- Grady L. Price Jr., DMD
- Hannah Price, OTRL
- Kassie Laine Price
- Anna-Kathryn Priest
- Carmelita Guinto Prieto Dejesus, MD
- Primary Care for Adults P C
- Primary Care Internists of Montgomery, P.C.
- Primary Care Providers of America LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.