Jessica Michelle Phillips, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2561 Issued in AR

Practice address

1410 W. Daisy Bates
Little Rock, AR 72202-5434

Phone

(501) 375-7811

Fax

(501) 375-1945

NPI assigned

May 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Michelle Bisbee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pathfinder, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, AR
  • NPI 1629035043
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1578739694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 W. MAIN ST.",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764214",
            "telephone_number": "501-982-0528",
            "fax_number": "501-533-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W. DAISY BATES",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025434",
            "telephone_number": "501-375-7811",
            "fax_number": "501-375-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BISBEE",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas Brent Phillips, ATC
• Edward J Phillips, CYC, CIT-HS-00158
• Emilee Erin Phillips, MS, RD, LD
• Hannah M Phillips, M.D.
• James Phillips, MD
• John Raymond Phillips, LAC
• Justin D Phillips, MD
• La'Myia Phillips
• Letitia Diana Phillips, PHARMD
• Nicholas Phillips

• Occupational Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.