Active NPI
Jennifer L Brennan, M.S., OTR
- Occupational Therapist
- Eatontown, NJ
National Provider Identifier
1952439077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00174300
- Practice address
- 615 Hope Rd
BLDG 5B, 1St Floor
Eatontown, NJ 07724-1277 - Phone
- (732) 380-7287
- Fax
- (732) 380-7289
- NPI assigned
- Mar 1, 2007
- 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 | 46TR00174300 | NJ | Primary |
Addresses
Primary practice location
615 Hope Rd
BLDG 5B, 1St Floor
Eatontown, NJ 07724-1277
Mailing address
615 Hope Rd
BLDG 5B, 1St Floor
Eatontown, NJ 07724-1277
Phone (732) 380-7287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26-2416034 | Other | NJ | TAX IDENTIFICATION NUMBER |
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 |
|---|---|---|---|
| 46TR00174300 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1952439077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 HOPE RD",
"address_2": "BLDG 5B, 1ST FLOOR",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241277",
"telephone_number": "732-380-7287",
"fax_number": "732-380-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 HOPE RD",
"address_2": "BLDG 5B, 1ST FLOOR",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241277",
"telephone_number": "732-380-7287",
"fax_number": "732-380-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "M.S., OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00174300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "26-2416034",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.