Individual provider Active NPI

Jessica Levy, PPOTD, MS, OTR/L

  • Pediatric Occupational Therapist
  • Washington, UT
National Provider Identifier
1043541600
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC010319 Issued in PA
Practice address
331 S Deep Creek Dr
Washington, UT 84780-3672
Phone
(435) 393-7456
Fax
(385) 218-3494
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC010319 PA
Pediatric Occupational Therapist 225XP0200X OC010319 PA Primary

Addresses

Primary practice location

331 S Deep Creek Dr
Washington, UT 84780-3672

Mailing address

331 S Deep Creek Dr
Washington, UT 84780-3672
Phone (435) 393-7456

Other practice location 1

410 E Tabernacle St
St George, UT 84770-2940
Phone (435) 393-7456

Other practice location 2

922 E Brigham Rd
Saint George, UT 84790-8750
Phone (435) 393-7456

Other practice location 3

591 N State St
LA Verkin, UT 84745-5115
Phone (435) 393-7456

Other practice location 4

246 E Fiddlers Canyon Rd
Cedar City, UT 84721-9776
Phone (435) 393-7456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731004097 UT Practitioner - Occupational Therapist in Private Practice 4688182736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC010319PAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go Therapy Occupational Therapist Current Accepting new patients
Crimson Heights LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

348 E 600 S
St George, UT 84770
Phone (435) 251-2888

Organizations & group practices 2

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1043541600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S DEEP CREEK DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847803672",
            "telephone_number": "435-393-7456",
            "fax_number": "385-218-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S DEEP CREEK DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847803672",
            "telephone_number": "435-393-7456",
            "fax_number": "385-218-3494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 E Tabernacle St",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847702940",
            "country_code": "US",
            "telephone_number": "435-393-7456",
            "fax_number": "385-218-3494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "922 E Brigham Rd",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847908750",
            "country_code": "US",
            "telephone_number": "435-393-7456",
            "fax_number": "385-218-3494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "591 N State St",
            "address_purpose": "LOCATION",
            "city": "LA Verkin",
            "state": "UT",
            "postal_code": "847455115",
            "country_code": "US",
            "telephone_number": "435-393-7456",
            "fax_number": "385-218-3494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 E Fiddlers Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847219776",
            "country_code": "US",
            "telephone_number": "435-393-7456",
            "fax_number": "385-218-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PPOTD, MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010319",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC010319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.