Individual provider Active NPI

Jessica Jean Hahn, OTD, OTR/L, CLT

  • Occupational Therapist
  • Norfolk, NE
National Provider Identifier
1215374863
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1414 Issued in NE
Practice address
2108 Taylor Ave
Ste 1100
Norfolk, NE 68701-4604
Phone
(402) 371-7545
Fax
(402) 379-0573
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1414 NE Primary

Addresses

Primary practice location

2108 Taylor Ave
Ste 1100
Norfolk, NE 68701-4604

Mailing address

2108 Taylor Ave
Ste 1100
Norfolk, NE 68701-4604
Phone (402) 371-7545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000478 NE Practitioner - Occupational Therapist in Private Practice 1759522717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacobsen Therapy Services LLCGroup PAC ID 1759381023, 5 clinicians

Practice addresses (Care Compare)

2108 Taylor Ave
Suite 1100
Norfolk, NE 68701-4642
Phone (402) 371-7545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1414NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobsen Therapy Services LLC Occupational Therapist CurrentSince Jun 1, 2013 Accepting new patients

Locations

2108 Taylor Ave
Ste 1100
Norfolk, NE 68701
Phone (402) 371-7545

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1215374863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE",
            "address_2": "STE 1100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014604",
            "telephone_number": "402-371-7545",
            "fax_number": "402-379-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE",
            "address_2": "STE 1100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014604",
            "telephone_number": "402-371-7545",
            "fax_number": "402-379-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "OTD, OTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.