Jon Chervenak, MHS, OTR/L
Individual provider Active NPI Occupational Therapist · Valley, AL
NPI 1962653428 · NPPES record last updated Oct 2, 2008
Key facts
- NPI
- 1962653428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- AL2923 (AL)
- Practice address
- 4800 48TH St
Valley, AL 36854-3666 - Phone
- (334) 756-1126
- Fax
- (334) 756-6561
- NPI assigned
- Oct 2, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL2923 | AL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | AL2923 | AL | Yes |
Addresses
Primary practice location
4800 48TH St
Valley, AL 36854-3666
Mailing address
4800 48TH St
Valley, AL 36854-3666
Phone (334) 756-1126
Other providers in Valley, AL
- Chattahoochee Valley Hospital Society
- Chattahoochee Valley Hospital Society
- Chattahoochee Valley Hospital Society
- Chattahoochee Valley Hospital Society
- Chattahoochee Valley Hosptial Society
- City of Valley EMS
- Civil Assist Patient Care Services
- Jennifer Gilley Close
- Paige J Collins
- Stephen Michael Collins
All providers in Valley, AL · Occupational Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.