Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB CLEVENGER, OTR/L
Deactivated Sole ProprietorJACOB CLEVENGER, OTR/L is a Occupational Therapist healthcare provider located in MURRAY, Kentucky. NPI 1639711559 is deactivated in the NPPES registry. Verify at CMS.
Occupational Therapist · MURRAY, KY
This NPI has been deactivated.
The record was deactivated on December 29, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639711559
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2019 (3.2164383561644 yrs)
- Last Updated
- Jan 9, 2023
- Deactivated
- Dec 29, 2022
- License
-
280029 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1710 KY-121 SUITE KMURRAY, KY, 42071Browse KY providers · Browse ZIP 42071
- Phone
- 2707676397
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in MURRAY, KY
| Name | Credential | NPI |
|---|---|---|
| MISS TINA KAY GREEN | OTR | 1134336787 |
| KELSEY MARIE HANSON-SKIRKA | PTA, OTR/L | 1467654269 |
| KATHARINE FICK | OTR | 1659535003 |
| MICHAEL SCOTT RICHARDSON | OTR/L | 1336408228 |
| NATALIE CAROL FORD | MSOT, OTR/L | 1477124287 |
| MRS. LILY BOSWELL | — | 1316827025 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.