Active NPI
Jennifer Roff McCarthy, O. T.
- Occupational Therapist
- Ruston, LA
National Provider Identifier
1881708097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.Z11761
- Practice address
- 1200 S Farmerville St
Ruston, LA 71270-5941 - Phone
- (318) 251-6103
- Fax
- (318) 251-6141
- NPI assigned
- Aug 18, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT.Z11761 | LA | Primary |
Addresses
Primary practice location
1200 S Farmerville St
Ruston, LA 71270-5941
Mailing address
PO Box 1594
Ruston, LA 71273-1594
Phone (318) 251-6103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006858 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Pershing Hwy
Jonesboro, LA 71251-2046
Phone (318) 259-9899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Parish Therapy Center LLC | Occupational Therapist | Current | Accepting new patients |
| Green Clinic LLC | Past | Accepting new patients |
Locations
900 Pershing Hwy
Jonesboro, LA 71251
Phone (318) 224-8994
1701 Commerce St
Ruston, LA 71270
Phone (318) 224-8994
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71614
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Ruston, LA
- NPI 1891794491
Occupational Therapist
-
- Physical Therapy Clinic/Center
- Ruston, LA
- NPI 1891801601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881708097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1594",
"city": "RUSTON",
"state": "LA",
"postal_code": "712731594",
"telephone_number": "318-251-6103",
"fax_number": "318-251-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S FARMERVILLE ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705941",
"telephone_number": "318-251-6103",
"fax_number": "318-251-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "JENNIFER",
"middle_name": "ROFF",
"name_prefix": "Ms.",
"credential": "O. T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.Z11761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006858",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.