Chasity Jessen
Individual provider Active NPI Occupational Therapist · Pocahontas, AR
NPI 1306530449 · NPPES record last updated Jun 2, 2023
Key facts
- NPI
- 1306530449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR2985 (AR)
- Practice address
- 567 US-67
Suite B
Pocahontas, AR 72455 - Phone
- (870) 248-1119
- NPI assigned
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gross Therapy Services Inc
Practice addresses (Care Compare)
1006 W Main St
Walnut Ridge, AR 72476-1004
Phone (870) 759-5055
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231005003860 | AR | Practitioner - Occupational Therapist in Private Practice | 0941655252 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gross Therapy Services, Inc. | Occupational Therapist | Current |
Accepting new patients |
Locations
567 Highway 67 S
Ste B
Pocahontas, AR 72455
Phone (870) 248-1119
1006 W Main St
Walnut Ridge, AR 72476
Phone (870) 539-9989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR2985 | AR | Yes |
Addresses
Primary practice location
567 US-67
Suite B
Pocahontas, AR 72455
Mailing address
973 Rogers Rd
Pocahontas, AR 72455-7092
Phone (870) 378-8899
Other providers in Pocahontas, AR
- Beth L. Jackson
- Andrea Jansen
- Andrew J Jansen III
- Philip Anthony Jansen
- Catherine Lynn Jarrett
- JMRX LLC
- JMRX LLC
- Loren Johnson
- Adyson Jones
- Britany Danyel Jones
All providers in Pocahontas, AR · Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.