Judi Lynn Jessick, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP005945 Issued in PA

Practice address

3201 River Rd
Lewisburg, PA 17837-9255

Phone

(570) 524-2271

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1104151315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 8TH AVE",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 RIVER RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379255",
            "telephone_number": "570-524-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSICK",
        "first_name": "JUDI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP005945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabt Therapy, LLC - Dba Jennifer Troxell, LCSW
• George Paul Jacobs, D.M.D.
• Anna M James, M.S CCC/SLP
• Scott Thomas Jefferson
• Eileen Jessica Jerdon, CRNA
• John F Devine, DO, PC (Susquehanna Medical Associates)
• Teena John, DPT
• Theresa John
• Ashley Johnson
• Keith Allan Johnson, PA-C

• Occupational Therapy Assistant in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.