Individual provider Active NPI

Jenna Ann Iannone, OTD

  • Occupational Therapist
  • Crestview, FL
National Provider Identifier
1861177461
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26606 Issued in FL
Practice address
124 John King Rd
Crestview, FL 32539-8306
Phone
(850) 634-6020
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 26606 FL Primary

Addresses

Primary practice location

124 John King Rd
Crestview, FL 32539-8306

Mailing address

16626 S 14TH PL
Phoenix, AZ 85048-4713
Phone (949) 257-7873

Other practice location 1

16626 S 14th Pl
Phoenix, AZ 85048-4713
Phone (949) 257-7873

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

LicenseStateTypeSpecialty
26606FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
850 Therapy, LLC PastSince Dec 10, 2023 Accepting new patients
Exit 56 Therapy Group LLC PastSince Dec 1, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1861177461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16626 S 14TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850484713",
            "telephone_number": "949-257-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 JOHN KING RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398306",
            "telephone_number": "850-634-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16626 S 14th Pl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850484713",
            "country_code": "US",
            "telephone_number": "949-257-7873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IANNONE",
        "first_name": "JENNA",
        "middle_name": "ANN",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "26606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.