1053200998 NPI number — JILLIAN MOWRY MCGARRY M.S., OTR/L

NPI Number: 1053200998
Health Care Provider/Practitioner: JILLIAN MOWRY MCGARRY M.S., OTR/L

NPI Number : 1053200998 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053200998",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCGARRY",
    "FirstName": "JILLIAN",
    "MiddleName": "MOWRY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COYNE",
    "OtherFirstName": "JILLIAN",
    "OtherMiddleName": "MOWRY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S., OTR/L",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3636 CAMINO DEL RIO N STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92108-1722",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-928-1293",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3636 CAMINO DEL RIO N STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92108-1722",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-928-1293",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/02/2025",
    "LastUpdateDate": "07/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225XP0200X",
        "TaxonomyName": "Pediatric Occupational Therapist",
        "LicenseNumber": "15055",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}