Individual provider Active NPI

Jessica Ward, COTA

  • Occupational Therapy Assistant
  • Las Cruces, NM
National Provider Identifier
1316353337
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
212713 Issued in NM
Practice address
1005 Lujan Hill Rd
Las Cruces, NM 88007-6304
Phone
(575) 523-4573
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X 212713 NM Primary

Addresses

Primary practice location

1005 Lujan Hill Rd
Las Cruces, NM 88007-6304

Mailing address

1005 Lujan Hill Rd
Las Cruces, NM 88007-6304
Phone (575) 532-4573

Other practice location 1

6601 Montana Ave Ste G&h
El Paso, TX 79925-2155
Phone (915) 838-7604

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

LicenseStateTypeSpecialty
212713NMMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1316353337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 LUJAN HILL RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880076304",
            "telephone_number": "575-532-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 LUJAN HILL RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880076304",
            "telephone_number": "575-523-4573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 Montana Ave Ste G&h",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799252155",
            "country_code": "US",
            "telephone_number": "915-838-7604",
            "fax_number": "915-772-4633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "JESSICA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "212713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.