Jessaka Nichols
Individual provider Active NPI Occupational Therapist · Turner, ME
NPI 1609181767 · NPPES record last updated Aug 13, 2010
Key facts
- NPI
- 1609181767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT1916 (ME)
- Practice address
- 486 Turner Ctr Rd
Turner, ME 04282-3954 - Phone
- (207) 225-3045
- NPI assigned
- Aug 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1916 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msad #52 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1916 | ME | Yes |
Addresses
Primary practice location
486 Turner Ctr Rd
Turner, ME 04282-3954
Mailing address
486 Turner Ctr Rd
Turner, ME 04282-3954
Phone (207) 225-3045
Other providers in Turner, ME
- Marcia Marron
- Bruce Allan Mason
- Linda J Miles
- Msad #52
- Mugisha Home Care LLC
- Carolyn Perkins
- Kathleen Pilkington
- Richard Boyd Rau
- Shelley B Rau
- Red Maple Audiology, LLC
All providers in Turner, ME · Occupational Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.