Active NPI
Jennifer L. Gunderman, O.T.-CHT
- Occupational Therapist
- Slidell, LA
National Provider Identifier
1992797286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004712
- Practice address
- 2132 Gause Blvd E Ste 6
Slidell, la
Slidell, LA 70461-4243 - Phone
- (985) 646-2531
- NPI assigned
- Aug 22, 2005
- 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 | OT004712 | OH | Primary |
Addresses
Primary practice location
2132 Gause Blvd E Ste 6
Slidell, la
Slidell, LA 70461-4243
Mailing address
2132 Gause Blvd E Ste 6
Slidell, la
Slidell, LA 70461-4243
Phone (985) 646-2531
Other names 1
- Jennifer L Raaker
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services OH, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, OH
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241029000096 | MD | Practitioner - Occupational Therapist in Private Practice | 3971561119 | Reassigns benefits to 1 organization |
| I20241029000247 | DC | Practitioner - Occupational Therapist in Private Practice | 3971561119 | Reassigns benefits to 1 organization |
| I20260615000253 | OH | Practitioner - Occupational Therapist in Private Practice | 3971561119 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6525 N High St
Worthington, OH 43085-4045
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.200798 | LA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Current | Accepting new patients | |
| Fox Rehab OT MD LLC | Current | Accepting new patients | |
| Nyconn Orthopaedic & Rehabalitation Specialists, PLLC | Past | Accepting new patients |
Locations
11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 4
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.
-
- Specialist
- Stamford, CT
- NPI 1336144120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1992797286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 GAUSE BLVD E STE 6",
"address_2": "SLIDELL, LA",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614243",
"telephone_number": "985-646-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 GAUSE BLVD E STE 6",
"address_2": "SLIDELL, LA",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614243",
"telephone_number": "985-646-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDERMAN",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "O.T.-CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT004712",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services OH, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "6525 N High St",
"city": "Worthington",
"state": "OH",
"country_code": "US",
"postal_code": "430854045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "RAAKER",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.