Jessica Long Carter, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13311 Issued in NC

Practice address

323 Baldwin Rd
Burlington, NC 27217-2715

Phone

(336) 229-5571

NPI assigned

Jun 30, 2020

Last updated

Mar 6, 2024By the provider in NPPES

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

Other names 1

• Jessica Lynne Long Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1235756719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 JOHN OAKLEY RD",
            "city": "PROSPECT HILL",
            "state": "NC",
            "postal_code": "273149408",
            "telephone_number": "336-504-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BALDWIN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172715",
            "telephone_number": "336-229-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JESSICA",
        "middle_name": "LONG",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-03-06",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LONG",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul J Carroll, MD
• Carter Wellness Center
• Allison Anne Carter
• Amanda Carter, CCC-SLP
• Dewey G Carter, DDS
• Joanna Whitmire Carter, LCSWA
• Kelly D Carter, DPT
• Kiana Carter, LCSWA
• Charles Cartwright
• Linda Gail Cash, LPC

• Occupational Therapist in Burlington, NC
• Providers in Burlington, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.