Individual provider Active NPI

Jessica Whiteherse Johnson, COTA/L

  • Occupational Therapy Assistant
  • Knoxville, TN
National Provider Identifier
1003525817
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA0000002329 Issued in TN
Practice address
310 Corporate Dr Suit 101
Knoxville, TN 37923-3792
Phone
(865) 769-0801
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA0000002329 TN Primary

Addresses

Primary practice location

310 Corporate Dr Suit 101
Knoxville, TN 37923-3792

Mailing address

432 Gaut Rd
Dandridge, TN 37725-3202
Phone (386) 253-3751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA0000002329TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah L Curlee Communication Consultants Inc CurrentSince Nov 27, 2022 Accepting new patients

Locations

310 Corporate Dr
Ste 101
Knoxville, TN 37923
Phone (865) 693-5622

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1003525817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 GAUT RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377253202",
            "telephone_number": "386-253-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CORPORATE DR SUIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233792",
            "telephone_number": "865-769-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "WHITEHERSE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "OTA0000002329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.