Active NPI
Jessica Gail Rourke, OTR
- Occupational Therapist
- Schertz, TX
National Provider Identifier
1043874308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 119818
- Practice address
- 5700 Schertz Parkway Ste 100
Schertz, TX 78154 - Phone
- (210) 233-1790
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 119818 | TX | Primary |
Addresses
Primary practice location
5700 Schertz Parkway Ste 100
Schertz, TX 78154
Mailing address
12315 Jones Maltsberger Rd
San Antonio, TX 78247-4281
Phone (210) 913-4103
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 |
|---|---|---|---|
| 119818 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1043874308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12315 JONES MALTSBERGER RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782474281",
"telephone_number": "210-913-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 SCHERTZ PARKWAY STE 100",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "78154",
"telephone_number": "210-233-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROURKE",
"first_name": "JESSICA",
"middle_name": "GAIL",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-23",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.