Active NPI
Sierra Jenks, OTRL
- Occupational Therapist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056012968
- Practice address
- 800 N 1St St
Springfield, IL 62702-3719 - Phone
- (217) 528-7541
- Fax
- (217) 203-9013
- NPI assigned
- May 17, 2016
- Last updated
- May 22, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT005529 | GA | |
| Occupational Therapist | 225X00000X | 056012968 | IL | Primary |
| Occupational Therapist | 225X00000X | OT.4771 OT | SC |
Addresses
Primary practice location
800 N 1St St
Springfield, IL 62702-3719
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Other practice location 1
210 E DeRenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
Other names 1
- Sierra Toney
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sierrajenks@sfc.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT005529 | GA | MD | Occupational Therapist |
| 056012968 | IL | MD | Occupational Therapist |
| OT.4771 OT | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490
810 Towne Park Dr
Ste 200
Rincon, GA 31326
Phone (912) 826-2533
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401
16 Okatie Center Blvd S
Ste 201
Okatie, SC 29909
Phone (843) 476-4702
Organizations & group practices 4
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.
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1780077982
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1861849069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032403",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023719",
"telephone_number": "217-528-7541",
"fax_number": "217-203-9013"
}
],
"practiceLocations": [
{
"address_1": "210 E DeRenne Ave",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056736",
"country_code": "US",
"telephone_number": "912-644-5300",
"fax_number": "912-644-5260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKS",
"first_name": "SIERRA",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT005529",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056012968",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "OT.4771 OT",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sierrajenks@sfc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "800 N 1st St",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627023719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SIERRA",
"last_name": "TONEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.