Individual provider Active NPI

Jessica H Roland, MHS, OTR/L

  • Occupational Therapist
  • Lexington, SC
National Provider Identifier
1427214295
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3422 Issued in SC
Practice address
200 Wellmore Dr
Lexington, SC 29072-9157
Phone
(803) 500-1194
Fax
(803) 674-0500
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3422 SC Primary

Addresses

Primary practice location

200 Wellmore Dr
Lexington, SC 29072-9157

Mailing address

219 Cochin Trce
Lexington, SC 29072-8245
Phone (803) 341-5133

Other practice location 1

9600 Two Notch Rd Ste 26
Columbia, SC 29223-1613
Phone (803) 736-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325001585 SC Practitioner - Occupational Therapist in Private Practice 5991112633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acker Physical TherapyGroup PAC ID 8325381411, 9 clinicians
Fox Rehabilitation Services of South Carolina, LLCGroup PAC ID 3971639998, 289 clinicians

Practice addresses (Care Compare)

144 Leisure LN
Suite 100
Columbia, SC 29210-4156
Phone (803) 708-3950

800 N Lake Dr
Lexington, SC 29072-2903
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3422SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services of South Carolina, LLC Occupational Therapist CurrentSince Jan 1, 2023 Accepting new patients
Acker Physical Therapy CurrentSince Feb 21, 2025 Accepting new patients

Locations

144 Leisure Ln
Ste 100
Columbia, SC 29210
Phone (803) 708-3950

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1427214295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 COCHIN TRCE",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728245",
            "telephone_number": "803-341-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WELLMORE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729157",
            "telephone_number": "803-500-1194",
            "fax_number": "803-674-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Two Notch Rd Ste 26",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292231613",
            "country_code": "US",
            "telephone_number": "803-736-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "JESSICA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "MHS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.