Individual provider Active NPI

Jessica Iris Frazier

  • Occupational Therapist
  • Sarasota, FL
National Provider Identifier
1093427007
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23775 Issued in FL
Practice address
4630 17TH St
Sarasota, FL 34235-1843
Phone
(941) 487-5400
Fax
(941) 487-5430
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Occupational Therapist 225X00000X 23775 FL Primary

Addresses

Primary practice location

4630 17TH St
Sarasota, FL 34235-1843

Mailing address

4802 51St St W Apt 1009
Bradenton, FL 34210-5108
Phone (973) 534-8684

Other practice location 1

906 N US Highway 41 Ste B
Ruskin, FL 33570-3544
Phone (813) 323-5783

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
23775FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southshore Bilingual Therapy Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

906 N US Highway 41
Ste B
Ruskin, FL 33570
Phone (813) 323-5783

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": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1093427007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 51ST ST W APT 1009",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342105108",
            "telephone_number": "973-534-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351843",
            "telephone_number": "941-487-5400",
            "fax_number": "941-487-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 N US Highway 41 Ste B",
            "address_purpose": "LOCATION",
            "city": "Ruskin",
            "state": "FL",
            "postal_code": "335703544",
            "country_code": "US",
            "telephone_number": "813-323-5783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JESSICA",
        "middle_name": "IRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "23775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.