Jessie Lynne Bricker, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2018041573 Issued in MO

Practice address

817 Brownell Ave
Saint Louis, MO 63122-3236

Phone

(309) 808-0278

NPI assigned

Aug 21, 2006

Last updated

Jun 12, 2025By the provider in NPPES

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

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skill Sprout, LLC

  • Behavior Analyst
  • Washington, IL
  • NPI 1659600948
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1407962640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 BROWNELL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223236",
            "telephone_number": "309-808-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 BROWNELL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223236",
            "telephone_number": "309-808-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKER",
        "first_name": "JESSIE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2018041573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100044415-62762-01",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "08432058",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Allan Satoshi Brick, DC
• Phillip L Brick, M.D.
• Wendy Brick, FNP
• Neil I Brickel, M.D.
• Amy J Bricker, RPH
• Raymond Angelo Brickhouse Jr., D.P.M
• Ariel Bridget Brickler, MD
• Jennifer Brickler, RN, MSN, NNP, BC
• Bricks and Bites LLC
• Bridge Between Counseling & Consultation, LLC

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.