Jessica Rodgers, MOT, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

991 Willie Hill Rd
Gilbert, LA 71336-5864

Phone

(318) 789-5332

NPI assigned

Jun 8, 2016

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1154770311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 WILLIE HILL RD",
            "city": "GILBERT",
            "state": "LA",
            "postal_code": "713365864",
            "telephone_number": "318-789-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 WILLIE HILL RD",
            "city": "GILBERT",
            "state": "LA",
            "postal_code": "713365864",
            "telephone_number": "318-789-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Serio Blvd",
            "address_purpose": "LOCATION",
            "city": "Ferriday",
            "state": "LA",
            "postal_code": "713342013",
            "country_code": "US",
            "telephone_number": "318-757-0430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "JESSICA",
        "credential": "MOT, LOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "OTA.200221",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Village Aesthetics LLC
• Village of Gilbert Pharmacy, LLC (Village Pharmacy)

• Occupational Therapist in Gilbert, LA
• Providers in Gilbert, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.