Jessica White, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT15773 Issued in FL

Practice address

6617 Woods Island Cir Apt 108
Port St Lucie, FL 34952-1468

Phone

(772) 464-3303

NPI assigned

Aug 22, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians

Vitality Rehab Services LLCGroup PAC ID 8527411941, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Vitality Rehab Services LLC

  • Rehabilitation Clinic/Center
  • Vero Beach, FL
  • NPI 1518736297
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1265866545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 WOODS ISLAND CIR APT 108",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 WOODS ISLAND CIR APT 108",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521468",
            "telephone_number": "772-464-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSICA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ellen Wermont, P.A.-C
• Susan R S Wertheim, LCSW
• Tracy Trinese Wesley
• Raymond J Wheeler
• Bri'Anne M White
• Kenneth Ray White, PH.D.
• Laurel Ann White
• Shane Donald Whiteley, DC
• Wholistic Medicine Clin
• Wickshire Port St. Lucie

• Occupational Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.