Active NPI
Jasmine Menachery, OTR/L
- Occupational Therapist
- Potomac, MD
National Provider Identifier
1932554805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07808
- Practice address
- 13502 Deerbrook Dr
Potomac, MD 20854-6328 - Phone
- (301) 802-6944
- NPI assigned
- Apr 28, 2016
- Last updated
- Apr 28, 2016
- 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 | 07808 | MD | Primary |
Addresses
Primary practice location
13502 Deerbrook Dr
Potomac, MD 20854-6328
Mailing address
1705 E West Hwy
Apt 316
Silver Spring, MD 20910-3055
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 |
|---|---|---|---|
| 07808 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1932554805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 E WEST HWY",
"address_2": "APT 316",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13502 DEERBROOK DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208546328",
"telephone_number": "301-802-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENACHERY",
"first_name": "JASMINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.