Jessica Lee Honan, OTR-L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1380 Issued in MS

Practice address

711 Avignon Dr
Ridgeland, MS 39157-5120

Phone

(601) 605-6777

Fax

(601) 605-8869

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobility Rehab LLCGroup PAC ID 3577821008, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Mobility Rehab LLC

  • Rehabilitation Clinic/Center
  • Ridgeland, MS
  • NPI 1407376452
  Medicare reassignment Care Compare group NPD
• Eden Rehab LLC

  • Physical Therapy Assistant
  • Brandon, MS
  • NPI 1558664250
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356499867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 FLYING J DR",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469351",
            "telephone_number": "601-354-1429",
            "fax_number": "601-354-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 AVIGNON DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575120",
            "telephone_number": "601-605-6777",
            "fax_number": "601-605-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONAN",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel James Holloway
• Felicia Marie Holmes, OTR-L
• Deborah Jones Holt, PHD, LMSW
• Hilarie Nixon Holt, OD
• Homecare Plus, Inc.
• Shellie Smith Hood, M.S., CCC-SLP
• Teresa Elias Hooper, PSY.D.,LTD
• Niasha Joanette Hoover
• Shelby Hoover
• Sabrita Recheal Hopkins, NP-C

• Occupational Therapist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.