Jessica Anderson, OTR
Individual provider Active NPI Occupational Therapist · Devils Lake, ND
NPI 1477635779 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1477635779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 918 (ND)
- Practice address
- 213 5TH St NE
Devils Lake, ND 58301-2425 - Phone
- (701) 662-2216
- Fax
- (701) 401-0104
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 583 Therapy
Practice addresses (Care Compare)
213 5TH St NE
Devils Lake, ND 58301-2425
Phone (701) 662-2216
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150424002382 | ND | Practitioner - Occupational Therapist in Private Practice | 4587983549 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 918 | ND | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24546 | Other | ND | BCBS |
| 54829 | Medicaid | ND |
Other providers in Devils Lake, ND
- Altru Hospital-Devils Lake
- Altru Hospital-Devils Lake
- Altru Specialty Services, Inc.
- Altru Specialty Services, Inc.
- Amachi Mentoring
- Kirsten Anneliese Andrews
- Carolyn Arlien
- Jacquelyn Aronson
- Amanda Kay Asleson
- Aspire Services, Incorporated
All providers in Devils Lake, ND · Occupational Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.