Jessica Monique Graham, OTA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTA14759 Issued in FL

Practice address

15127 S Jog Rd Ste 210
Delray Beach, FL 33446-1251

Phone

(561) 498-1098

Fax

(561) 495-2524

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1487300802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BELMONT PL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367839",
            "telephone_number": "850-284-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15127 S JOG RD STE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461251",
            "telephone_number": "561-498-1098",
            "fax_number": "561-495-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JESSICA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OTA14759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emanuel E Gottenger, M.D.
• Andrea Gottlieb, MS CCC/SLP
• Eileen B. Gottlieb, M. ED.
• Alan Jay Gould, DDS
• Stephen Grabelsky, MD
• Erika Grande, DPT
• Ann Louis Marie Granje, R.P.T.
• Brian James Grant, PA-C
• Keneithia S Grant, OTR/L
• Grass Roots Recovery

• Occupational Therapist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.