Active NPI
Jennifer Ann Smith, PT
- Physical Therapist
- Ocala, FL
National Provider Identifier
1871509331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30132
- Practice address
- 2131 SW 20TH PL
Ocala, FL 34471-7734 - Phone
- (352) 237-4133
- Fax
- (352) 237-7728
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30132 | FL | Primary |
Addresses
Primary practice location
2131 SW 20TH PL
Ocala, FL 34471-7734
Mailing address
2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391
Phone (352) 237-4133
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211861 | Medicaid | NC | |
| D3037 | Other | NC | MEDCOST NC |
| 079A6 | Other | NC | BCBS NC |
Other names 1
- Jennifer Ann Ott
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30132 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1871509331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 SW 19TH AVENUE RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344711391",
"telephone_number": "352-237-4133",
"fax_number": "352-237-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 SW 20TH PL",
"city": "OCALA",
"state": "FL",
"postal_code": "344717734",
"telephone_number": "352-237-4133",
"fax_number": "352-237-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211861",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST NC",
"identifier": "D3037",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "079A6",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "OTT",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.