Jennifer Lee Cunningham, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.06059 Issued in OH

Practice address

10949 Johnnycake Ridge Rd
Painesville, OH 44077-2430

Phone

(440) 354-7090

NPI assigned

Sep 16, 2015

Last updated

Sep 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lee Phillips 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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1932578390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 BLACKBROOK RD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771294",
            "telephone_number": "440-487-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10949 JOHNNYCAKE RIDGE RD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772430",
            "telephone_number": "440-354-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA.06059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PHILLIPS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Counting Blessing Home Care LLC
• Jaydin Coy
• Kimberly Crawford, RN,BSN,MED
• William E Cress, M.D.
• Leslie Cubbison
• Todd Michael Dalessandro, O.D.
• Lisa Damico
• Amanda Davidson Jones, DPT
• Lori A Davidson, AU.D.
• Jason Dean, FNP

• Occupational Therapy Assistant in Painesville, OH
• Providers in Painesville, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.