Individual provider Active NPI

Jacinda Kay Barnes

  • Occupational Therapist
  • Quincy, IL
National Provider Identifier
1982930863
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056005461 Issued in IL
Practice address
3032 Broadway St
Quincy, IL 62301-3708
Phone
(217) 222-6800
Fax
(217) 222-0037
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056005461 IL Primary

Addresses

Primary practice location

3032 Broadway St
Quincy, IL 62301-3708

Mailing address

3032 Broadway St
14TH and Broadway
Quincy, IL 62301-3708
Phone (217) 223-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120202000063 IL Practitioner - Occupational Therapist in Private Practice 8820255888 Reassigns benefits to 3 organizations
I20130418000091 MO Practitioner - Occupational Therapist in Private Practice 8820255888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Hannibal Regional Hospital LLCGroup PAC ID 6709022122, 22 clinicians

Practice addresses (Care Compare)

188 Medical Dr
Suite a
Hannibal, MO 63401-6877
Phone (573) 406-0576

927 Broadway St
Suite 100
Quincy, IL 62301-2728
Phone (217) 222-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy & Sports Medicine of Adams County LLC CurrentSince Jan 1, 2012 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC CurrentSince Jan 1, 2012 Accepting new patients
Advance Physical Therapy of Hancock County LLC CurrentSince Jan 1, 2012 Accepting new patients
Advance Hannibal Regional Hospital LLC CurrentSince Mar 4, 2013 Accepting new patients
Advance Hannibal Regional Hospital, LLC CurrentSince Mar 4, 2013 Accepting new patients
Advance PT Therapy of Hannibal LLC PastSince Aug 8, 2012 Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Past Accepting new patients

Locations

1452 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-9000

3032 Broadway St
Quincy, IL 62301
Phone (217) 617-3412

927 Broadway St
Ste 100
Quincy, IL 62301
Phone (217) 222-9300

4800 Maine St
Ste 48100
Quincy, IL 62305
Phone (218) 316-2937

160 Progress Rd
#111
Hannibal, MO 63401

188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576

Organizations & group practices 8

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": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1982930863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "address_2": "14TH AND BROADWAY",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-222-6800",
            "fax_number": "217-222-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JACINDA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.