IndividualActive
Jenna Iannone, OTD
NPI 1861177461 · Occupational Therapist · Crestview, FL
Provider details
- NPI number
- 1861177461
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD
- Sex
- Female
- Sole proprietor
- No
- License
- 26606 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
124 John King Rd
Crestview, FL 32539-8306
Phone: (850) 634-6020
Street-level locationGet directions
Mailing address
16626 S 14th Pl
Phoenix, AZ 85048-4713
Additional practice locations (1)
- 16626 S 14th PlPhoenix, AZ 85048-4713Phone: (949) 257-7873
Registry dates
- Enumerated
- 2023-06-20
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.