Individual provider Active NPI

Jessica L Sievers, OT

  • Occupational Therapist
  • Red Bank, NJ
National Provider Identifier
1073371449
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01168900 Issued in NJ
Practice address
231 Maple Ave FL 2
Red Bank, NJ 07701-1745
Phone
(732) 530-1164
Fax
(732) 530-2172
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 46TR01168900 NJ Primary

Addresses

Primary practice location

231 Maple Ave FL 2
Red Bank, NJ 07701-1745

Mailing address

231 Maple Ave FL 2
Red Bank, NJ 07701-1745
Phone (732) 530-1164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513002925 NJ Practitioner - Occupational Therapist in Private Practice 7517308232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Chiropractic and Wellness Center, L.L.C. Multi-Specialty CurrentSince Mar 20, 2024 Accepting new patients

Locations

231 Maple Ave
Red Bank, NJ 07701
Phone (732) 530-1164

231 Maple Ave
Fl 2
Red Bank, NJ 07701
Phone (732) 530-1164

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1073371449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE FL 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011745",
            "telephone_number": "732-530-1164",
            "fax_number": "732-530-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE FL 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011745",
            "telephone_number": "732-530-1164",
            "fax_number": "732-530-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVERS",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01168900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.