Jessica Lindsey Ward, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA15923 Issued in FL

Practice address

305 Mack Bayou Rd
Santa Rosa Beach, FL 32459-7199

Phone

(850) 213-4595

NPI assigned

Mar 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• South Walton Academy, Inc.

  • Clinic/Center
  • Santa Rosa Beach, FL
  • NPI 1568964278
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1194350769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GARDENIA ST",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073044",
            "telephone_number": "850-226-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MACK BAYOU RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597199",
            "telephone_number": "850-213-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JESSICA",
        "middle_name": "LINDSEY",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA15923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle William Wagner, MSW
• Wal-Mart Stores East , LP
• Wal-Mart Stores East LP
• Lindsay Walleck, LPC, LMHC
• Phillip Walleck, PHD
• Leighann Ward
• Waterside Chiropractic Inc.
• Jennifer Weaver
• Lacy Renae Weeks
• Frederick John Wehle Jr., MD

• Occupational Therapy Assistant in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.