Individual provider Active NPI

Jessica Daniels, MS, OTR/L

  • Occupational Therapist
  • Cumming, GA
National Provider Identifier
1508562018
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008384 Issued in GA
Practice address
1715 Friendship Cir Ste 300
Cumming, GA 30028-6920
Phone
(770) 240-0163
Fax
(770) 240-0163
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT008384GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Therapy and Learning Center LLC Current
since Jan 26, 2025
Accepting new patients

Locations

1715 Friendship Cir
Ste 300
Cumming, GA 30028
Phone (770) 240-0163

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008384 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

1715 Friendship Cir Ste 300
Cumming, GA 30028-6920

Mailing address

1715 Friendship Cir Ste 300
Cumming, GA 30028-6920
Phone (770) 240-0163

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
OT008743OtherGAGEORGIA STATE LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2023.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1508562018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 FRIENDSHIP CIR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286920",
            "telephone_number": "770-240-0163",
            "fax_number": "770-240-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FRIENDSHIP CIR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286920",
            "telephone_number": "770-240-0163",
            "fax_number": "770-240-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JESSICA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE",
            "identifier": "OT008743",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.