Jessica Peterson, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

U10826 Issued in DE

Practice address

1001 Middleford Rd
Seaford, DE 19973-3638

Phone

(302) 628-5608

NPI assigned

Apr 2, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Easter Seals Delaware & Marylands Eastern Shore, Inc

  • Intellectual & Developmental Disabilities Psychologist
  • New Castle, DE
  • NPI 1437156635

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427179183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 RIVERS END DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199738009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733638",
            "telephone_number": "302-628-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JESSICA",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U10826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "U10826",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Home Health Care Inc.
• Peninsula Orthopaedic Assoc., PA
• Peninsula United Methodist Home
• Brandi Perry, RN
• Nicholas Peter, DPT
• Mari Alisza Phares
• Meredith Phillips-Woodard, LCSW
• Phoenix Rehabilitation and Health Services of Delaware Inc
• Physiotherapy Associates, Inc.
• Lemuel Pierre, PA

• Occupational Therapist in Seaford, DE
• Providers in Seaford, DE by specialty
• Occupational Therapist in Delaware

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.