Active NPI
Jessica C Willey, OTR/L
- Occupational Therapist
- Alabaster, AL
National Provider Identifier
1104467869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2872
- Practice address
- 103 Mayfair Park
Alabaster, AL 35114-5457 - Phone
- (205) 260-2561
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18368 | CA | |
| Occupational Therapist | 225X00000X | 2872 | AL | Primary |
Addresses
Primary practice location
103 Mayfair Park
Alabaster, AL 35114-5457
Mailing address
103 Mayfair Park
Alabaster, AL 35114-5457
Other names 1
- Jessica C Boston
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 |
|---|---|---|---|
| 18368 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Ability Therapy Solutions, LLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Alabaster, AL
- NPI 1528945573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1104467869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MAYFAIR PARK",
"city": "ALABASTER",
"state": "AL",
"postal_code": "351145457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MAYFAIR PARK",
"city": "ALABASTER",
"state": "AL",
"postal_code": "351145457",
"telephone_number": "205-260-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "JESSICA",
"middle_name": "C",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18368",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "2872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BOSTON",
"middle_name": "C",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alabaster, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.