Active NPI
Jessie-Lynn Kelley Myers, OTR/L
- Occupational Therapist
- Tifton, GA
National Provider Identifier
1083231567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007776
- Practice address
- 1488 Old Ocilla Rd
Tifton, GA 31794-4152 - Phone
- (229) 386-5200
- NPI assigned
- Jun 30, 2020
- Last updated
- Jun 30, 2020
- 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 | OT007776 | GA | Primary |
Addresses
Primary practice location
1488 Old Ocilla Rd
Tifton, GA 31794-4152
Mailing address
1298 Ed Lindsey Rd
Lenox, GA 31637-4928
Phone (386) 590-6194
Other practice location 1
1401 US Highway 41 N
Tifton, GA 31794-3203
Phone (229) 387-8377
Other practice location 2
808 Ward St W
Douglas, GA 31533-3514
Phone (912) 383-0559
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 |
|---|---|---|---|
| OT007776 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lymphedema Center, LLC | Past | Accepting new patients | |
| Orthopedic and Sports Physical Therapy, Inc. | Past | Accepting new patients | |
| Rehabilitation Services of Coffee, Inc | Occupational Therapist | Past | Accepting new patients |
| Rehabilitation Services of Tifton, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- Tifton, GA
- NPI 1194796789
-
- Physical Therapist
- Douglas, GA
- NPI 1255440517
Occupational Therapist
-
- Speech-Language Pathologist
- Tifton, GA
- NPI 1710958855
Occupational Therapist
-
- Physical Rehabilitation Occupational Therapist
- Tifton, GA
- NPI 1013710441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1083231567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1298 ED LINDSEY RD",
"city": "LENOX",
"state": "GA",
"postal_code": "316374928",
"telephone_number": "386-590-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1488 OLD OCILLA RD",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944152",
"telephone_number": "229-386-5200"
}
],
"practiceLocations": [
{
"address_1": "1401 US Highway 41 N",
"address_purpose": "LOCATION",
"city": "Tifton",
"state": "GA",
"postal_code": "317943203",
"country_code": "US",
"telephone_number": "229-387-8377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "808 Ward St W",
"address_purpose": "LOCATION",
"city": "Douglas",
"state": "GA",
"postal_code": "315333514",
"country_code": "US",
"telephone_number": "912-383-0559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "JESSIE-LYNN",
"middle_name": "KELLEY",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.