Active NPI
Jordan Kay Billups, OTA
- Occupational Therapy Assistant
- Keokuk, IA
National Provider Identifier
1184112930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 10 Village Cir
Keokuk, IA 52632-2059 - Phone
- (319) 524-5772
- NPI assigned
- Apr 27, 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 Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
10 Village Cir
Keokuk, IA 52632-2059
Mailing address
11310 Heather Ave
Douds, IA 52551-8206
Phone (641) 919-2112
Other practice location 1
11310 Heather Ave
Douds, IA 52551-8206
Phone (641) 919-2112
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1184112930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11310 HEATHER AVE",
"city": "DOUDS",
"state": "IA",
"postal_code": "525518206",
"telephone_number": "641-919-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 VILLAGE CIR",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526322059",
"telephone_number": "319-524-5772"
}
],
"practiceLocations": [
{
"address_1": "11310 Heather Ave",
"address_purpose": "LOCATION",
"city": "Douds",
"state": "IA",
"postal_code": "525518206",
"country_code": "US",
"telephone_number": "641-919-2112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BILLUPS",
"first_name": "JORDAN",
"middle_name": "KAY",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.