JEFFREY AARON PENNOCK I OTR
NPI 1093297715
Occupational Therapist in Fort Myers, FL

Active since August 29, 2018Accepts Medicare Assignment
15071 SHELL POINT BLVD, FORT MYERS, FL 33908(239) 454-2256(239) 466-1240 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Aaron Pennock I Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY AARON PENNOCK I OTR (NPI 1093297715) is an individual occupational therapist in Fort Myers, Florida, licensed in Florida (OT9358) and active in the NPI registry since August 2018. He is a graduate of Other (1998).

NPPES Registry Identity

NPI1093297715
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJEFFREY AARON PENNOCK ICredential: OTR
Location Address15071 SHELL POINT BLVDFort Myers, FL 33908-1639
Mailing Address15071 Shell Point BlvdFort Myers, FL 33908-1639 · (239) 454-2256 · Fax (239) 466-1240
Fax(239) 466-1240
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 29, 2018
NPI 1093297715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in FL · OT9358
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
15071 SHELL POINT BLVD, Fort Myers, FL 33908

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Aaron Pennock I Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234503707
PECOS Enrollment IDI20230323002314

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
15071 SHELL POINT BLVD
FORT MYERS, FL 33908
Occupational Therapy Assistant
15071 SHELL POINT BLVD
FORT MYERS, FL 33908
Physical Medicine & Rehabilitation
15071 SHELL POINT BLVD
FORT MYERS, FL 33908
Physical Therapist
15071 SHELL POINT BLVD
FORT MYERS, FL 33908
Social Worker (Clinical)
15071 SHELL POINT BLVD
FORT MYERS, FL 33908
Speech-Language Pathologist
15071 SHELL POINT BLVD
FORT MYERS, FL 33908
Occupational Therapist
15071 SHELL POINT BLVD
FORT MYERS, FL 33908
Physical Therapy Assistant
15071 SHELL POINT BLVD
FORT MYERS, FL 33908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Pennock's NPI number?

The NPI number for Jeffrey Pennock is 1093297715. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Jeffrey Pennock located?

Jeffrey Pennock practices at 15071 Shell Point Blvd, Fort Myers, FL 33908. The listed phone number is (239) 454-2256.

What is Jeffrey Pennock's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jeffrey Pennock enrolled in Medicare?

Yes. Jeffrey Pennock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeffrey Pennock was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.