Jessica Sison

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60880576 Issued in WA

Practice address

2580 S Montesano St
Westport, WA 98595-9746

Phone

(360) 268-9125

Fax

(360) 268-2540

NPI assigned

Jan 22, 2019

Last updated

Jan 22, 2019By 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 Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ocosta School District

  • Local Education Agency (LEA)
  • Westport, WA
  • NPI 1982716569
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1245704469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 S MONTESANO ST",
            "city": "WESTPORT",
            "state": "WA",
            "postal_code": "985959746",
            "telephone_number": "360-268-9125",
            "fax_number": "360-268-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 S MONTESANO ST",
            "city": "WESTPORT",
            "state": "WA",
            "postal_code": "985959746",
            "telephone_number": "360-268-9125",
            "fax_number": "360-268-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60880576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MARTIN",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber L Moore, LMT
• Chantel Louise Nelson, LMP, ACSM
• Ocosta School District
• Duane W. Pegg, DMD
• Doris Elaine Reed, M.S., L.AC.
• South Beach Dental Clinic
• South Beach Regional Fire Authority
• South Beach Regional Fire Authority
• Aquila Stoneking, MS
• Twin Harbor Drug, Inc. (Twin Harbor Drug)

• Occupational Therapy Assistant in Westport, WA
• Providers in Westport, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.