Jennifer R Jones, Otr/L, CHT
Occupational Therapist in Fairview Heights, IL. Individual provider (NPI-1).
NPI number1619095437
StatusActive
Last updated in NPPESFeb 14, 2020
Details
- NPI
- 1619095437
- Entity type
- Individual (NPI-1)
- Name
- Jennifer R Jones
- Credential
- Otr/L, CHT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2007
- Certification date
- Feb 14, 2020
- Last updated
- Feb 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056-006388 | IL | Yes |
Other names
- Jennifer R Fahey (Former Name)
Practice location
5300 N. IllinoisSte 101
Fairview Heights, IL 62208
Phone 618-624-9300 · Fax 618-624-9330
Mailing address
600 Oakmont LnSte 600c
Westmont, IL 60559-5548
Phone 630-575-1980
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Occupational Therapist providers in Fairview Heights · All 500 providers in Fairview Heights
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