Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Ennis Jr.

Individual provider Occupational Therapist · NPI 1619399482

Jerry Ennis Jr. is an Occupational Therapist in Bradenton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

6406 21st Ave W
Bradenton, FL 34209-7850
Phone: (941) 798-8712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT11536 (FL)

Record details

NPI number1619399482
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2014
Last updated in NPPESJanuary 14, 2014
Mailing address6406 21st Ave W, Bradenton, FL 34209-7850

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