Jessica Kay Hutman
Individual provider Active NPI Occupational Therapy Assistant · Anna, IL
NPI 1104603679 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1104603679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.006031 (IL)
- Practice address
- 315 Brady Mill Rd
Anna, IL 62906-2306 - Phone
- (618) 833-6343
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057.006031 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.006031 | IL | Yes |
Addresses
Primary practice location
315 Brady Mill Rd
Anna, IL 62906-2306
Mailing address
1401 N State St
Marion, IL 62959-2989
Phone (618) 922-0548
Other providers in Anna, IL
- Holly Hill
- Michael Peter Holub
- Kimberly M Honey
- Mackenzie Brooke Housman
- Hunter Reach Family Medicine, LLC
- Illinois Department of Human Services
- Illinois Department of Human Services
- Illinois Department of Human Services
- Illinois Veterans Home at Anna
- Independent Living Services, Inc. (Ils)
All providers in Anna, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.