Jenna Nicole Pelonero, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14768 Issued in MA

Practice address

96 Forest St
Peabody, MA 01960-3907

Phone

(978) 532-0303

NPI assigned

Dec 5, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1881304483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR APT 209",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535177",
            "telephone_number": "732-320-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 FOREST ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603907",
            "telephone_number": "978-532-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Memorial Dr Apt 209",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077535177",
            "country_code": "US",
            "telephone_number": "732-320-0098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELONERO",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "115433",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01068400",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14768",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peabody Surgery Center, LLC.
• Pediatric Health Care Associates PC (Phca)
• Pediatric Health Care Associates PC
• Paul S Peicott, DPM
• Kayla Pelletier, PT DPT
• Lisbeth Pena-Ramirez
• Jesus M Pena
• Susan M. Penley, M.T.
• Kathleen Ingham Pennoyer, PH.D.
• Patrick Luiz Pereira-Pires

• Occupational Therapist in Peabody, MA
• Providers in Peabody, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.