Individual provider Active NPI

Jennyfer L Toms, OT, PTA

  • Occupational Therapist
  • Fort Myers, FL
National Provider Identifier
1962545723
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-11524 Issued in FL
Practice address
13691 Metro Pkwy 120
Fort Myers, FL 33912-4348
Phone
(239) 768-2272
Fax
(239) 768-5549
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA-18807 FL
Occupational Therapist 225X00000X OT-11524 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy 120
Fort Myers, FL 33912-4348

Mailing address

13691 Metro Pkwy 400
Fort Myers, FL 33912-4349
Phone (239) 768-2272

Other identifiers 2

IdentifierTypeStateIssuer
K0865OtherFLMEDICARE GROUP
1962545723OtherFLCIGNA

Other names 1

  • Jennyfer L Masters 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
PTA-18807FLMDPhysical Therapy Assistant
OT-11524FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy of Southwest Florida, Inc. PastSince Sep 30, 2005 Accepting new patients
Concepts in Rehab Inc Past Accepting new patients

Organizations & group practices 2

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1962545723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124349",
            "telephone_number": "239-768-2272",
            "fax_number": "239-768-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY 120",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124348",
            "telephone_number": "239-768-2272",
            "fax_number": "239-768-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMS",
        "first_name": "JENNYFER",
        "middle_name": "L",
        "credential": "OT, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA-18807",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT-11524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K0865",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1962545723",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNYFER",
            "last_name": "MASTERS",
            "middle_name": "L",
            "credential": "OT, PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.