Active NPI
Jessica E Vincent, OTR/L
- Occupational Therapist
- Groton, CT
National Provider Identifier
1174031140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004663
- Practice address
- 235 Lestertown Rd
Groton, CT 06340-2808 - Phone
- (860) 445-7478
- NPI assigned
- Jan 12, 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 | 004663 | CT | Primary |
Addresses
Primary practice location
235 Lestertown Rd
Groton, CT 06340-2808
Mailing address
235 Lestertown Rd
Groton, CT 06340-2808
Phone (860) 445-7478
Other names 1
- Jessica E Hoppe
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 |
|---|---|---|---|
| 004663 | CT | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1174031140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 LESTERTOWN RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063402808",
"telephone_number": "860-445-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 LESTERTOWN RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063402808",
"telephone_number": "860-445-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "JESSICA",
"middle_name": "E",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "004663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HOPPE",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.