Active NPI
Jessie Martin Carrigan, OTR
- Occupational Therapist
- Salem, OR
National Provider Identifier
1457224313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 520864
- Practice address
- 2611 Pringle Rd SE
Salem, OR 97302-1533 - Phone
- (503) 588-5330
- NPI assigned
- Sep 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 520864 | OR | Primary |
Addresses
Primary practice location
2611 Pringle Rd SE
Salem, OR 97302-1533
Mailing address
1924 Fenner Glen Dr
Muskegon, MI 49445-3513
Phone (231) 720-8810
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
| License | State | Type | Specialty |
|---|---|---|---|
| 520864 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1457224313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 FENNER GLEN DR",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494453513",
"telephone_number": "231-720-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 PRINGLE RD SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973021533",
"telephone_number": "503-588-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRIGAN",
"first_name": "JESSIE",
"middle_name": "MARTIN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-26",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "520864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.