Active NPI
Jessica Anderson, OTR
- Occupational Therapist
- Devils Lake, ND
National Provider Identifier
1477635779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 918
- Practice address
- 213 5TH St NE
Devils Lake, ND 58301-2425 - Phone
- (701) 662-2216
- Fax
- (701) 401-0104
- NPI assigned
- Oct 19, 2006
- Last updated
- Sep 12, 2025
- 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 | 918 | ND | Primary |
Addresses
Primary practice location
213 5TH St NE
Devils Lake, ND 58301-2425
Mailing address
213 5TH St NE
Devils Lake, ND 58301-2425
Phone (701) 662-2216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
213 5TH St NE
Devils Lake, ND 58301-2425
Phone (701) 662-2216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 918 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 583 Therapy | Occupational Therapist | Current | Accepting new patients |
| Clinic Pharmacy Inc | Past | Accepting new patients |
Locations
213 5th St NE
Devils Lake, ND 58301
Phone (701) 662-2216
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1477635779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 5TH ST NE",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583012425",
"telephone_number": "701-662-2216",
"fax_number": "701-401-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 5TH ST NE",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583012425",
"telephone_number": "701-662-2216",
"fax_number": "701-401-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JESSICA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.