Jocelyn Nackley

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021862 Issued in NY

Practice address

3560 Delaware St Ste 311
Beaumont, TX 77706-3060

Phone

(409) 299-4638

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alliance Therapy Outpatient Services

  • Physical Therapist
  • Beaumont, TX
  • NPI 1891050811

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1316443005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 EAGLE RIDGE DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132260",
            "telephone_number": "315-534-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 311",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063060",
            "telephone_number": "409-299-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACKLEY",
        "first_name": "JOCELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11336",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118934",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11336",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "389927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "021862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "118934",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mybody Wellness Laboratory
• Terry W Myrick, MD
• N&N Pain & Injury Clinic, PA
• Orlen Nabors
• Shereen Naccour, MD
• Nader Consultants LLC
• Lindsay Kay Nagel, FNP-C
• Pavan K Naidu, MD
• Nancy Endari D.D.S., P.a.
• William Stewart Nantz, DDS

• Occupational Therapist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.