Active NPI
Jessica Elyse Laws, COTA
- Occupational Therapy Assistant
- Marion, NC
National Provider Identifier
1285191536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 9516
- Practice address
- 1264 Airport Rd
Marion, NC 28752-3190 - Phone
- (828) 460-3747
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 9516 | NC | Primary |
Addresses
Primary practice location
1264 Airport Rd
Marion, NC 28752-3190
Mailing address
671 Jakes Branch Rd
Marion, NC 28752-7482
Phone (828) 460-3747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9561 | Other | NC | NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY |
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 |
|---|---|---|---|
| 9516 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1285191536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 JAKES BRANCH RD",
"city": "MARION",
"state": "NC",
"postal_code": "287527482",
"telephone_number": "828-460-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 AIRPORT RD",
"city": "MARION",
"state": "NC",
"postal_code": "287523190",
"telephone_number": "828-460-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWS",
"first_name": "JESSICA",
"middle_name": "ELYSE",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "9516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "9561",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.