Jessica Richardson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

06617 Issued in MD

Practice address

17501 Old Baltimore Rd
Olney, MD 20832-2509

Phone

(304) 841-1687

NPI assigned

Apr 19, 2013

Last updated

Apr 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Ona, WV
  • NPI 1336858398

  Occupational Therapist

  Medicare reassignment NPD
• Genesis Healthcare

  • Skilled Nursing Facility
  • Sandy Spring, MD
  • NPI 1356785612
  Authorized official Same address or phone
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1053755165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 OLD BALTIMORE RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322509",
            "telephone_number": "304-841-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 OLD BALTIMORE RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322509",
            "telephone_number": "304-841-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliant Senior Living LLC
• Remedy Movement Physical Therapy, LLC
• Viviana Andrea Reyes, N.P
• Richard a Kurnot MD PA
• David A Richards Sr.
• John Robert Ring, DC
• Lauren Ringfield
• Stephen Risch
• Ana Patricia Rivera, LCPC
• Shannon Robinson, LCSW-C

• Occupational Therapist in Olney, MD
• Providers in Olney, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.