Jenna J Deloach, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2300 E Pinetree Blvd
Thomasville, GA 31792

Phone

(229) 228-8050

Fax

(229) 584-5979

NPI assigned

Jul 23, 2021

Last updated

Dec 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• John D Archbold Memorial Hospital Inc

  dba Archbold Memorial

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702

  Multi-Specialty

  NPD (past)
• John D. Archbold Memorial Hospital, Inc.

  dba Archbold Home Care Center

  • Durable Medical Equipment & Medical Supplies
  • Thomasville, GA
  • NPI 1184673030
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1881267102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PARKWAY DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926747",
            "telephone_number": "404-561-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E PINETREE BLVD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-228-8050",
            "fax_number": "229-584-5979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Market St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317925782",
            "country_code": "US",
            "telephone_number": "229-222-9146",
            "fax_number": "317-449-5783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "JENNA",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevonne Kamoy O'Brien Dawson, MD
• Aubrey Layne Day, PA-S
• Stalin H De Souza Borges, DMD
• Brandi Michelle Dees, FNP-C
• Jennifer Lynn Delarber, P.A.C.
• Gabrielle Kronshage Dennis, FNP-C
• Department of Behavioral Health & Dev. Disabilities (Southwest Developmental Center)
• Department of Behavioral Health & Dev. Disabilities (Southwestern State Hospital)
• Department of Behavioral Health & Developmental Disabilities (Southwestern State Hospital)
• Department of Behavioral Health & Developmental Disabilities (Southwestern State Hospital)

• Occupational Therapist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.