MEDICARE: JENNIFER PAPE OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5263	OH
2	225XP0019X	Physical Rehabilitation Occupational Therapist	134898	IA
3	225X00000X	Occupational Therapist
4	225X00000X	Occupational Therapist	2030	TN

General Provider Information

NPI Number	:	1619034261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER PAPE OT

Provider Business Mailing Address
First Line	:	1000 PHEASANT LN
Second Line	:
City	:	NORTH LIBERTY
State	:	IA
Zip	:	52317-4847
Country	:	US
Telephone Number	:	513-828-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 PHEASANT LN
Second Line	:
City	:	NORTH LIBERTY
State	:	IA
Zip	:	52317-4847
Country	:	US
Telephone Number	:	513-828-7575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	12/26/2025

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Directions to “ JENNIFER PAPE OT” Practice Location

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