Active NPI
Jessica Powell
- Occupational Therapist
- Roanoke, VA
National Provider Identifier
1265303812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119010961
- Practice address
- 2020 Oakland Blvd NW
Roanoke, VA 24012-3999 - Phone
- (540) 853-2502
- NPI assigned
- Sep 16, 2025
- 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 | 0119010961 | VA | Primary |
Addresses
Primary practice location
2020 Oakland Blvd NW
Roanoke, VA 24012-3999
Mailing address
201 Campbell Ave SW
Roanoke, VA 24011-1105
Phone (540) 853-2502
Other practice location 1
1125 Sherwood Ave SW
Roanoke, VA 24015-3027
Phone (540) 853-2502
Other practice location 2
3901 Williamson Rd NW
Roanoke, VA 24012-2812
Phone (540) 853-2502
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119010961 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1265303812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CAMPBELL AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111105",
"telephone_number": "540-853-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 OAKLAND BLVD NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240123999",
"telephone_number": "540-853-2502"
}
],
"practiceLocations": [
{
"address_1": "1125 Sherwood Ave SW",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240153027",
"country_code": "US",
"telephone_number": "540-853-2502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3901 Williamson Rd NW",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240122812",
"country_code": "US",
"telephone_number": "540-853-2502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119010961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
- Andrew Potter
- Sandhya Poudel Subedi
- Katherine Heeks Poulos, MSW, LCSW
- Virginia A Powel, M.D.
- Ashley Elizabeth Powell, PH.D.
- Kerry Alexander Powell, M.D.
- Natalie K Powell, D.M.D
- Patricia Leigh Powell, LPC, LMFT
- Saowanee Wingworn Powell, DNP, APRN,FNP-C
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.