Individual provider Active NPI

Jessica Richard

  • Occupational Therapist
  • College Station, TX
National Provider Identifier
1093327751
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120180 Issued in TX
Practice address
2305 Longmire Dr Ste 300
College Station, TX 77845-7034
Phone
(972) 422-1860
NPI assigned
Aug 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 120180 TX Primary

Addresses

Primary practice location

2305 Longmire Dr Ste 300
College Station, TX 77845-7034

Mailing address

15634 Shady Brook LN
College Station, TX 77845-1106
Phone (413) 854-3200

Other practice location 1

1700 E Stone St
Brenham, TX 77833-5150
Phone (979) 830-1996

Other names 1

  • Jessica Megan Brown Former name

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

LicenseStateTypeSpecialty
120180TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Believe Therapies, LLC PastSince Jul 4, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1093327751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15634 SHADY BROOK LN",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451106",
            "telephone_number": "413-854-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 LONGMIRE DR STE 300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457034",
            "telephone_number": "972-422-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Stone St",
            "address_purpose": "LOCATION",
            "city": "Brenham",
            "state": "TX",
            "postal_code": "778335150",
            "country_code": "US",
            "telephone_number": "979-830-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BROWN",
            "middle_name": "MEGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.