Jesica Nicole Feldman, OTA/L
Individual provider Active NPI Occupational Therapy Assistant · Gillespie, IL
NPI 1033780911 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1033780911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.004714 (IL)
- Practice address
- 401 Charles St
Gillespie, IL 62033-1814 - Phone
- (217) 271-7023
- NPI assigned
- Jul 1, 2021
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057.004714 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.004714 | IL | Yes |
Addresses
Primary practice location
401 Charles St
Gillespie, IL 62033-1814
Mailing address
401 Charles St
Gillespie, IL 62033-1814
Phone (217) 271-7023
Other providers in Gillespie, IL
- Sandra L Cania
- Carlinville Area Hospital Association
- Ashley Elizabeth Dicks
- Melinda S Edwards
- Danielle Louise Ellis
- Gillespie Cusd 7
- Gillespie Health and Rehab Center LLC
- Gillespie Health and Rehab Center LLC
- Gillespie-Benld Area Ambulance Service, Inc.
- Angela Greene
All providers in Gillespie, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. 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.