Active NPI
Jenna Ann Iannone, OTD
- Occupational Therapist
- Crestview, FL
National Provider Identifier
1861177461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26606
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26606 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 850 Therapy, LLC | Past | Accepting new patients | |
| Exit 56 Therapy Group LLC | Past | 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.
-
- Speech-Language Pathologist
- Crestview, FL
- NPI 1013783711
-
- Clinical Social Worker
- Crestview, FL
- NPI 1013733799
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.