Jennifer Lauren Migliore, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT003229 Issued in GA

Practice address

1000 Medical Center Blvd
Sports Medicine and Rehab Ctr
Lawrenceville, GA 30045-7694

Phone

(678) 312-2803

Fax

(770) 682-2236

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Lauren Migliore Other 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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1962567560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "SPORTS MEDICINE AND REHAB CTR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER BLVD",
            "address_2": "SPORTS MEDICINE AND REHAB CTR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457694",
            "telephone_number": "678-312-2803",
            "fax_number": "770-682-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIORE",
        "first_name": "JENNIFER",
        "middle_name": "LAUREN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT003229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "MIGLIORE",
            "middle_name": "LAUREN",
            "credential": "OT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Drew Miles
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• Pediatric Occupational Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.