Healthcare Provider Details

I. General information

NPI: 1609709559
Provider Name (Legal Business Name): JENNIFER KENT HINTON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 LANCASTER DR
IRVINGTON VA
22480-9740
US

IV. Provider business mailing address

PO BOX 265
WICOMICO CHURCH VA
22579-0265
US

V. Phone/Fax

Practice location:
  • Phone: 804-438-4341
  • Fax: 804-438-4896
Mailing address:
  • Phone: 804-761-3987
  • Fax: 804-438-4896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number0119002844
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: