Individual provider Active NPI

Jessica Johanna Cheevers, OTR/L

  • Occupational Therapist
  • Branson, MO
National Provider Identifier
1548912801
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2022006865 Issued in MO
Practice address
766 Buchanan Rd
Branson, MO 65616-9946
Phone
(417) 298-0168
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2022006865 MO Primary

Addresses

Primary practice location

766 Buchanan Rd
Branson, MO 65616-9946

Mailing address

1138 State Highway JJ
Sparta, MO 65753-9182

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cheeversj@branson.k12.mo.us

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2022006865MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1548912801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 STATE HIGHWAY JJ",
            "city": "SPARTA",
            "state": "MO",
            "postal_code": "657539182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 BUCHANAN RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656169946",
            "telephone_number": "417-298-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEVERS",
        "first_name": "JESSICA",
        "middle_name": "JOHANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2022006865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheeversj@branson.k12.mo.us",
            "affiliation": "N",
            "address_1": "766 Buchanan Rd",
            "city": "Branson",
            "state": "MO",
            "country_code": "US",
            "postal_code": "656169946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • 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.