Jessica Nicole Peterson, OTD, OTR, IBCLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

114690 Issued in TX

Practice address

1900 Steamboat Springs CV
Austin, TX 78746-7612

Phone

(737) 235-7730

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Matrescence Occupational Therapy, LLC

  • Occupational Therapist
  • Austin, TX
  • NPI 1891489514

  Lactation Consultant, Non-RN

  NPD

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1063136000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STEAMBOAT SPRINGS CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STEAMBOAT SPRINGS CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467612",
            "telephone_number": "737-235-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "OTD, OTR, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TX",
            "license": "L-319245",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Matthew Peterson, PT
• Ellen Davis Peterson, CNS
• Genevieve Peterson
• Hahja Lynne Peterson, DC
• Jasmine Peterson, PHARMD
• Kari Ann Peterson
• Lindsay W Peterson, D.D.S
• Louis Peterson, MD
• Mark A. Peterson, L.P.C.
• Mary E Peterson, NP

• Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.