Individual provider Active NPI

Jessica Sareussen

  • Occupational Therapist
  • Kenner, LA
National Provider Identifier
1609541952
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
327805 Issued in LA
Practice address
1101 Sunset Blvd Ste B
Kenner, LA 70065-6810
Phone
(850) 588-9641
Fax
(888) 711-0441
NPI assigned
Aug 10, 2021
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 327805 LA Primary

Addresses

Primary practice location

1101 Sunset Blvd Ste B
Kenner, LA 70065-6810

Mailing address

PO Box 168
Crystal Springs, MS 39059-0168
Phone (850) 588-9641

Other identifiers 1

IdentifierTypeStateIssuer
327805OtherLAOCCUPATIONAL THERAPY

Other names 1

  • Jessica Jessica Jessica Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other FOX REHABILITATION SERVICES LA LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001142 LA Practitioner - Occupational Therapist in Private Practice 2163828856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 Loyola Dr
Kenner, LA 70065-7793
Phone (504) 269-3020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Apr 2, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Apr 2, 2025 Accepting new patients
Fox Rehabilitation Services la LLC Occupational Therapist CurrentSince Nov 1, 2022 Accepting new patients
Jefferson Psychiatric Associates LLC Past Accepting new patients

Locations

8502 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 234-8168

9351 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 267-5351

270 Ashton Plantation Blvd
Luling, LA 70070
Phone (985) 236-1345

3732 W Esplanade Ave S
Metairie, LA 70002
Phone (504) 318-0380

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/05a97b88-f719-405f-abbb-125ac71b7cee/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1609541952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390590168",
            "telephone_number": "850-588-9641",
            "fax_number": "888-711-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SUNSET BLVD STE B",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700656810",
            "telephone_number": "850-588-9641",
            "fax_number": "888-711-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAREUSSEN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "327805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "327805",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES LA LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9511 Creekview Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708366459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JESSICA",
            "middle_name": "JESSICA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.