Active NPI
Jennifer A Dodge, MS, OTR
- Occupational Therapist
- Richmond, VA
National Provider Identifier
1891926044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119003767
- Practice address
- 112 N 29TH St
Richmond, VA 23223-7332 - Phone
- (804) 644-7756
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 0119003767 | VA | Primary |
Addresses
Primary practice location
112 N 29TH St
Richmond, VA 23223-7332
Mailing address
112 N 29TH St
Richmond, VA 23223-7332
Phone (804) 644-7756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119003767 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1891926044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N 29TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232237332",
"telephone_number": "804-644-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N 29TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232237332",
"telephone_number": "804-644-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODGE",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MS, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119003767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.