Active NPI
Jessica Ann Weir, MOT,OTR/L
- Occupational Therapist
- Upper Sandusky, OH
National Provider Identifier
1295022879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- O.T.007101
- Practice address
- 885 N Sandusky Ave
Upper Sandusky, OH 43351-1031 - Phone
- (419) 294-2296
- NPI assigned
- Jul 5, 2011
- 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 | O.T.007101 | OH | Primary |
Addresses
Primary practice location
885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Mailing address
885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (419) 294-2296
Other names 1
- Jessica Ann Boucher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6525 N High St
Worthington, OH 43085-4045
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O.T.007101 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Oh, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
6525 N High St
Worthington, OH 43085
Phone (332) 230-2813
Organizations & group practices 1
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.
-
- Physical Therapist
- Beachwood, OH
- NPI 1265968481
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1295022879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 N SANDUSKY AVE",
"city": "UPPER SANDUSKY",
"state": "OH",
"postal_code": "433511031",
"telephone_number": "419-294-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 N SANDUSKY AVE",
"city": "UPPER SANDUSKY",
"state": "OH",
"postal_code": "433511031",
"telephone_number": "419-294-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIR",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MOT,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "O.T.007101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BOUCHER",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Upper Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.