Active NPI
Jennifer E Block, OTR/L, MSOT
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1972287142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24312
- Practice address
- 6100 Kennerly Rd Ste 201
Jacksonville, FL 32216-4379 - Phone
- (904) 739-9901
- NPI assigned
- Jun 9, 2023
- 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 | 24312 | FL | Primary |
Addresses
Primary practice location
6100 Kennerly Rd Ste 201
Jacksonville, FL 32216-4379
Mailing address
12961 Medford LN
Jacksonville, FL 32225-3331
Phone (502) 751-5593
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24312 | FL | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1972287142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12961 MEDFORD LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322253331",
"telephone_number": "502-751-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 KENNERLY RD STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164379",
"telephone_number": "904-739-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "JENNIFER",
"middle_name": "E",
"credential": "OTR/L, MSOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "24312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.