Jack Thomas Worth, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT009899 Issued in OH

Practice address

955 Liberty Dr
Lancaster, OH 43130-8045

Phone

(740) 653-3193

NPI assigned

Aug 14, 2017

Last updated

Aug 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairfield County Educational Service Center

  • Local Education Agency (LEA)
  • Lancaster, OH
  • NPI 1679715197
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1962928739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 GLENBARR PL",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430179054",
            "telephone_number": "614-707-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LIBERTY DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308045",
            "telephone_number": "740-653-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTH",
        "first_name": "JACK",
        "middle_name": "THOMAS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT009899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Wooddell, PTA
• Khadijah Haleemah Woods
• Rhonda Gayl Woods
• Ermias Getachew Workneh, DDS
• Worth Saying Speech Therapy LLC
• Megan Malette Worthington, MA CCC-SLP
• Stacie R Wortman, LPN
• Wright Care Home Medical Supplies Inc (Genesis Respiratory Services Inc)
• James Allen Wright, PA-C
• Michelle E Wright, M.A., CCC/SLP

• Occupational Therapist in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.