Active NPI
Jessica Hebert OT, LLC
- Clinic/Center
- Groton, MA
National Provider Identifier
1205404241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- JESSICA HEBERT OT, LLC
- Practice address
- 597 Old Dunstable Rd
Groton, MA 01450-1505 - Phone
- (781) 414-9777
- NPI assigned
- Jun 16, 2021
- Last updated
- Jun 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Nicole Hebert, OTR/L
- Title
- OT
- Phone
- (781) 414-9777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
597 Old Dunstable Rd
Groton, MA 01450-1505
Mailing address
597 Old Dunstable Rd
Groton, MA 01450-1505
Phone (781) 414-9777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Lowell, MA
- NPI 1447612379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623801600000",
"number": "1205404241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "597 OLD DUNSTABLE RD",
"city": "GROTON",
"state": "MA",
"postal_code": "014501505",
"telephone_number": "781-414-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "597 OLD DUNSTABLE RD",
"city": "GROTON",
"state": "MA",
"postal_code": "014501505",
"telephone_number": "781-414-9777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSICA HEBERT OT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A",
"authorized_official_last_name": "HEBERT",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OT",
"authorized_official_telephone_number": "781-414-9777",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.