Jessica Marie Cerstvik, OTR/L
Individual provider Active NPI Occupational Therapist · Saint Marys, GA
NPI 1477501781 · NPPES record last updated Sep 10, 2018
Key facts
- NPI
- 1477501781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 12201 (FL)
- Practice address
- 70 Lindsey LN
Saint Marys, GA 31558 - Phone
- (912) 510-6104
- Fax
- (912) 882-6137
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12201 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance for Kids Inc | Occupational Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12201 | FL | Yes |
Addresses
Primary practice location
70 Lindsey LN
Saint Marys, GA 31558
Mailing address
23925 NW 3Rd Ave
Newberry, FL 32669-2246
Phone (352) 490-7500
Other practice location 1
220 N Main St
Suite 2
Chiefland, FL 32626-0869
Phone (352) 490-7500
Other providers in Saint Marys, GA
- Kricket Nicole Carter
- Nakea Carter
- Case Chiropractic Neurology Center LLC
- Marc Charles Case
- Hannah Cassel
- Andrea Lynn Chapman
- Kristy Chisowsky
- Michelle Y Christoforo
- Brandi Clark
- Bryan Clark
All providers in Saint Marys, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.