Active NPI
Jessie Cortlandt Parkulo, OTR/L
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1306362272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31006414A
- Practice address
- 7507 Michigan Rd
Indianapolis, IN 46268-2321 - Phone
- (304) 312-7867
- NPI assigned
- Aug 22, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 31006414A | IN | Primary |
Addresses
Primary practice location
7507 Michigan Rd
Indianapolis, IN 46268-2321
Mailing address
1718 Emerald Pines LN
Westfield, IN 46074-9147
Phone (304) 312-7867
Other practice location 1
9957 Allisonville Rd
Fishers, IN 46038-2006
Phone (304) 312-7867
Other practice location 2
1718 Emerald Pines Ln
Westfield, IN 46074-9147
Phone (304) 312-7867
Other names 1
- Jessie McCleery
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 |
|---|---|---|---|
| 31006414A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1306362272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 EMERALD PINES LN",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460749147",
"telephone_number": "304-312-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7507 MICHIGAN RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462682321",
"telephone_number": "304-312-7867"
}
],
"practiceLocations": [
{
"address_1": "9957 Allisonville Rd",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460382006",
"country_code": "US",
"telephone_number": "304-312-7867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 Emerald Pines Ln",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "IN",
"postal_code": "460749147",
"country_code": "US",
"telephone_number": "304-312-7867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKULO",
"first_name": "JESSIE",
"middle_name": "CORTLANDT",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006414A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSIE",
"last_name": "MCCLEERY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.