MRS. JENIFER LEE FURNESS OTR COF NPI 1972622140

NPI Information

NPI: 1972622140
Provider Name: MRS. JENIFER LEE FURNESS, OTR, COF
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
2123 LILLIE AVE
DAVENPORT, IA
ZIP 52804
Phone: (563) 343-0852
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MRS. Jenifer Lee Furness, OTR, COF is an orthotic fitter in Davenport, IA. The provider is an individual trained in the management of fitting prefabricated orthoses. MRS. Jenifer Lee Furness, OTR, COF NPI is 1972622140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2123 LILLIE AVE
DAVENPORT, IA
ZIP 52804-040
Phone: (563) 343-0852

The enumeration date for this NPI number is 3/28/2007 and was last updated on 5/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	225X00000X	Occupational Therapist	056.004970	ILLINOIS	No
2	225X00000X	Occupational Therapist	01130	IOWA	No
3	225000000X	Orthotic Fitter			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7100120570	MEDICAID	KENTUCKY
2	264560645	MEDICAID	ILLINOIS
3	3053065	MEDICAID	OHIO
4	6201130001	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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