Individual provider Active NPI

Tiffany Ann De Jesus Powell, MS, OTR/L

  • Occupational Therapist
  • Apex, NC
National Provider Identifier
1245672179
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15111 Issued in NC
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

Updated by the provider on Sep 4, 2025

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 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 Former name

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

LicenseStateTypeSpecialty
15111NCMDOccupational 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.

Verify at the official NPI Registry.