Active NPI
Jessica Loftus, OT
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1154899649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60785114
- Practice address
- 10199 Woodfield LN
Saint Louis, MO 63132-2922 - Phone
- (877) 407-3422
- NPI assigned
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60785114 | WA | Primary |
Addresses
Primary practice location
10199 Woodfield LN
Saint Louis, MO 63132-2922
Mailing address
325 S University Rd Ste 101
Spokane Valley, WA 99206-6164
Phone (509) 921-9798
Other practice location 1
1650 High St
Washington, MO 63090-4365
Phone (877) 407-3422
Other practice location 2
325 S University Rd Ste 101
Spokane Valley, WA 99206-6164
Phone (509) 921-9798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT6078514 | Other | WA | OCCUPATIONAL THERAPY LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | FOX REHABILITATION SERVICES OT MO LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | FOX REHABILITATION SERVICES OT MO LLC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT60785114 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youthful Horizons Physical Therapy P S | Past | 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.
-
- Physical Therapist
- Spokane Valley, WA
- NPI 1699823898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1154899649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 S UNIVERSITY RD STE 101",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992066164",
"telephone_number": "509-921-9798",
"fax_number": "509-921-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10199 WOODFIELD LN",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631322922",
"telephone_number": "877-407-3422"
}
],
"practiceLocations": [
{
"address_1": "1650 High St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630904365",
"country_code": "US",
"telephone_number": "877-407-3422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 S University Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992066164",
"country_code": "US",
"telephone_number": "509-921-9798",
"fax_number": "509-921-9774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOFTUS",
"first_name": "JESSICA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60785114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "OT6078514",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "FOX REHABILITATION SERVICES OT MO LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1650 High St",
"city": "Washington",
"state": "MO",
"country_code": "US",
"postal_code": "630904365",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "FOX REHABILITATION SERVICES OT MO LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10199 Woodfield Ln",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631322922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.