Jodie M Pettinger, OTR/L, CLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

00686 Issued in IA

Practice address

7 Hillcrest Heights LN
Mount Vernon, IA 52314-9611

Phone

(319) 329-9051

NPI assigned

Apr 22, 2020

Last updated

Apr 22, 2020By 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 1

Addresses

Other names 1

• Jodie M Jaspersen Former name

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1891315628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HILLCREST HEIGHTS LN",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523149611",
            "telephone_number": "319-329-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HILLCREST HEIGHTS LN",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523149611",
            "telephone_number": "319-329-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINGER",
        "first_name": "JODIE",
        "middle_name": "M",
        "credential": "OTR/L, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "00686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "JASPERSEN",
            "middle_name": "M",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Benjamin Donald Pospisil, D.D.S.
• Megan Pospisil, PAC
• Evan Purkapile
• Christopher M Reid, TLMFT
• Malissa Ann Ringdahl, PHARMD

• Occupational Therapist in Mount Vernon, IA
• Providers in Mount Vernon, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.