Active NPI
Jordan Rae King, OTR/L
- Occupational Therapist
- Danville, VA
National Provider Identifier
1912421538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009881
- Practice address
- 625 Piney Forest Rd Ste 407
Danville, VA 24540-2870 - Phone
- (434) 799-7732
- NPI assigned
- Jul 26, 2017
- 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 | 5201009881 | MI | Primary |
Addresses
Primary practice location
625 Piney Forest Rd Ste 407
Danville, VA 24540-2870
Mailing address
13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5826
Phone (815) 592-1123
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009881 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1912421538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 S ROUTE 59 STE 116-326",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605855826",
"telephone_number": "815-592-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 PINEY FOREST RD STE 407",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245402870",
"telephone_number": "434-799-7732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JORDAN",
"middle_name": "RAE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.