Active NPI
Jessica Hurst
- Occupational Therapist
- Brockton, MA
National Provider Identifier
1043712698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11920
- Practice address
- 801 Pleasant St
Brockton, MA 02301-3052 - Phone
- (508) 631-2280
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11920 | MA | Primary |
Addresses
Primary practice location
801 Pleasant St
Brockton, MA 02301-3052
Mailing address
96 Old Colony Ave Apt 234
East Taunton, MA 02718-1128
Other practice location 1
68 Dean St
Taunton, MA 02780-2713
Phone (582) 414-6708
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11920 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1043712698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 OLD COLONY AVE APT 234",
"city": "EAST TAUNTON",
"state": "MA",
"postal_code": "027181128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 PLEASANT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023013052",
"telephone_number": "508-631-2280"
}
],
"practiceLocations": [
{
"address_1": "68 Dean St",
"address_purpose": "LOCATION",
"city": "Taunton",
"state": "MA",
"postal_code": "027802713",
"country_code": "US",
"telephone_number": "582-414-6708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURST",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.