Individual provider Active NPI

Jennifer L. Gunderman, O.T.-CHT

  • Occupational Therapist
  • Slidell, LA
National Provider Identifier
1992797286
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004712 Issued in OH
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

Updated by the provider on Aug 26, 2026

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 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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
Fox Rehabilitation Services Oh, LLCGroup PAC ID 1254698350, 142 clinicians

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

LicenseStateTypeSpecialty
OTT.200798LAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC CurrentSince Oct 1, 2024 Accepting new patients
Fox Rehab OT MD LLC CurrentSince Oct 1, 2024 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.

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.

Verify at the official NPI Registry.