NPIMap

Individual provider Active NPI

Jessica Tewey, OTR/L

  • Occupational Therapist
  • Glen Arm, MD
National Provider Identifier
1437585437
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06116 Issued in MD
Practice address
11630 Glen Arm Rd
Glen Arm, MD 21057-9403
Phone
(410) 319-5035
Fax
(410) 592-3178
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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 06116 MD Primary

Addresses

Primary practice location

11630 Glen Arm Rd
Glen Arm, MD 21057-9403

Mailing address

11630 Glen Arm Rd
Glen Arm, MD 21057-9403
Phone (410) 319-5035

Other names 1

  • Jessica Durbin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06116MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1437585437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 GLEN ARM RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579403",
            "telephone_number": "410-319-5035",
            "fax_number": "410-592-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 GLEN ARM RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579403",
            "telephone_number": "410-319-5035",
            "fax_number": "410-592-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWEY",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DURBIN",
            "credential": "OTR/LMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Arm, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.