Eunmi Wang Jeong, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32003656A Issued in IN

Practice address

1118 W Cross St
Anderson, IN 46011-9530

Phone

(765) 643-1504

NPI assigned

Aug 7, 2022

Last updated

Aug 7, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1881321008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17763 OAK EDGE CIR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460629676",
            "telephone_number": "706-621-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W CROSS ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460119530",
            "telephone_number": "765-643-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "EUNMI",
        "middle_name": "WANG",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32003656A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fahad Javed, DDS
• Paul Jefferis, RPH
• Rhozonda Jefferson Sonnette Jefferson
• Jeffrey M. Blake MD, Inc.
• Mark Randall Jennings, MD
• Joseph G. Jerman, MD
• Jerry D Warthman, O.D., LLC
• Jetty Heart Clinic
• Jetty Heart Clinic of the Indiana Heart Hospital LLC
• Preetham Jetty, MD

• Occupational Therapy Assistant in Anderson, IN
• Providers in Anderson, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.