Active NPI
Tiffany Ann De Jesus Powell, MS, OTR/L
- Occupational Therapist
- Apex, NC
National Provider Identifier
1245672179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15111
- Practice address
- 501 W Williams St Unit 346
Apex, NC 27502-1998 - Phone
- (908) 930-2725
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 15111 | NC | Primary |
Addresses
Primary practice location
501 W Williams St Unit 346
Apex, NC 27502-1998
Mailing address
6831 Fox Landing Way Apt 642
Raleigh, NC 27616-7631
Phone (908) 930-2725
Other practice location 1
579 McKeon St
Perth Amboy, NJ 08861-3047
Phone (732) 697-9556
Other practice location 2
6831 Fox Landing Way Apt 642
Raleigh, NC 27616-7631
Phone (908) 930-2725
Other names 1
- Tiffany A De Jesus
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15111 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1245672179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6831 FOX LANDING WAY APT 642",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276167631",
"telephone_number": "908-930-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W WILLIAMS ST UNIT 346",
"city": "APEX",
"state": "NC",
"postal_code": "275021998",
"telephone_number": "908-930-2725"
}
],
"practiceLocations": [
{
"address_1": "579 McKeon St",
"address_purpose": "LOCATION",
"city": "Perth Amboy",
"state": "NJ",
"postal_code": "088613047",
"country_code": "US",
"telephone_number": "732-697-9556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6831 Fox Landing Way Apt 642",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276167631",
"country_code": "US",
"telephone_number": "908-930-2725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS POWELL",
"first_name": "TIFFANY",
"middle_name": "ANN",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "DE JESUS",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.