Active NPI
Jessica Mevius, OTR
- Occupational Therapist
- Plano, TX
National Provider Identifier
1215251749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113703
- Practice address
- 4409 Helston Dr
Plano, TX 75024-3748 - Phone
- (214) 566-2687
- Fax
- (866) 323-1955
- NPI assigned
- Mar 26, 2010
- Last updated
- Jul 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 113703 | TX | Primary |
Addresses
Primary practice location
4409 Helston Dr
Plano, TX 75024-3748
Mailing address
5604 Blue Spruce LN
McKinney, TX 75070-6990
Phone (214) 924-7130
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 |
|---|---|---|---|
| 113703 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy, PLLC | Occupational Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1215251749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 BLUE SPRUCE LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750706990",
"telephone_number": "214-924-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4409 HELSTON DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750243748",
"telephone_number": "214-566-2687",
"fax_number": "866-323-1955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEVIUS",
"first_name": "JESSICA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-26",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.