Jamielou Sevilla, OTR/L
Individual provider Active NPI Occupational Therapist · Williamston, NC
NPI 1013386523 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1013386523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 08718 (MD)
- Practice address
- 119 Gatlin St
Williamston, NC 27892-2560 - Phone
- (252) 792-1616
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119007904 | VA | MD | Occupational Therapist |
| 9631 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119007904 | VA | |
| Occupational Therapist | 225X00000X | 08718 | MD | Yes |
| Occupational Therapist | 225X00000X | 9631 | NC |
Addresses
Primary practice location
119 Gatlin St
Williamston, NC 27892-2560
Mailing address
119 Gatlin St
Williamston, NC 27892-2560
Other providers in Williamston, NC
- Samaritans Network, Inc.
- Tracey Rogerson Sawyer
- Scott Chiropractic LLC
- Scott Matthews OD PA
- Clayton Self
- Sherman Bernard Boone
- Tiyon Lavon Simmons
- Gajendra Singh
- SJ Legacy Home LLC
- Steven Earl Skahill
All providers in Williamston, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.