Active NPI
Jessica Lynn Peake, OTR/L
- Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1477323962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0006099
- Practice address
- 304 Doris Dr
Colorado Springs, CO 80911-1116 - Phone
- (636) 448-7693
- NPI assigned
- Jan 4, 2024
- Last updated
- Jan 4, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 0006099 | CO | Primary |
Addresses
Primary practice location
304 Doris Dr
Colorado Springs, CO 80911-1116
Mailing address
304 Doris Dr
Colorado Springs, CO 80911-1116
Phone (636) 448-7693
Other names 1
- Jessica Lynn Beine
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 |
|---|---|---|---|
| 0006099 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1477323962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 DORIS DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809111116",
"telephone_number": "636-448-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 DORIS DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809111116",
"telephone_number": "636-448-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAKE",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-04",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "0006099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BEINE",
"middle_name": "LYNN",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Colorado Springs, CO
- Peak Vista Community Health Centers (Heath Center at Academy Suite 3500)
- Peak Vista Community Health Centers (Downtown Health Center)
- Peak Wellness Counseling Service, LLC
- Douglas Lyle Peak Jr., DDS
- Nicole Peak, PH.D.
- Peakmed Colorado, LLC
- Peakmed Colorado, LLC
- Peakmed Colorado, LLC
- Peaks Recovery Centers LLC
- Peaks Recovery Centers LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.