Individual provider Active NPI

Jennifer Lee Bachelor, OT/L, DRP

  • Occupational Therapist
  • Westerville, OH
National Provider Identifier
1891930236
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 004026 Issued in OH
Practice address
670 Meridian Way
Suite 262
Westerville, OH 43082-7648
Phone
(740) 777-6896
Fax
(855) 402-3455
NPI assigned
Dec 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 004026 OH Primary

Addresses

Primary practice location

670 Meridian Way
Suite 262
Westerville, OH 43082-7648

Mailing address

670 Meridian Way
Suite 262
Westerville, OH 43082-7648
Phone (740) 777-6896

Other identifiers 1

IdentifierTypeStateIssuer
2155984MedicaidOH

Other names 1

  • Ms. Jennifer Lee Berry Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 004026OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Right, Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1891930236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MERIDIAN WAY",
            "address_2": "SUITE 262",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827648",
            "telephone_number": "740-777-6896",
            "fax_number": "855-402-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MERIDIAN WAY",
            "address_2": "SUITE 262",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827648",
            "telephone_number": "740-777-6896",
            "fax_number": "855-402-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHELOR",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "OT/L, DRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT 004026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155984",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BERRY",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.