Jessica A Parks, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00842100 Issued in NJ

Practice address

491 Highland Ave
Montclair, NJ 07043-1201

Phone

(607) 592-0669

NPI assigned

Nov 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1447403407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 HIGHLAND AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431201",
            "telephone_number": "607-592-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 HIGHLAND AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431201",
            "telephone_number": "607-592-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "014874",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00842100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan C. Parente, PSY.D.
• Chong H Park, M.D., F.R.C.S.(US)
• Kang-Woo Daniel Park, DDS
• Carol B Parker, LCSW
• Mario Parker
• Lissa Parsonnet, PHD
• Steven Pasterick, PT, DPT
• Lynda E Pasternack, LCSW
• Patel Family Chiropractor
• Ankita Patel, MD

• Pediatric Occupational Therapist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.