Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Russell Kornegay, OTR/L

Individual provider Occupational Therapist · NPI 1659198380

Jennifer Russell Kornegay, OTR/L is an Occupational Therapist in Private Practice in Wilmington, North Carolina. Qualified in 2003, 23 years ago. Practices with Eastern Therapy Solutions, PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

9020 Senca Dr Ste 220
Wilmington, NC 28411-6680
Phone: (910) 264-9317
Fax: (910) 442-8372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5370 (NC)

Record details

NPI number1659198380
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 24, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Eastern Therapy Solutions, Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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