Active NPI
Jessica Rylant Gibson, M.S.,OTR/L
- Pediatric Occupational Therapist
- Montgomery, AL
National Provider Identifier
1619103603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2984
- Practice address
- 4209 Carmichael Rd
Montgomery, AL 36106-3601 - Phone
- (334) 356-1020
- Fax
- (334) 356-2177
- NPI assigned
- Jun 3, 2009
- Last updated
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2984 | AL | |
| Pediatric Occupational Therapist | 225XP0200X | 2984 | AL | Primary |
Addresses
Primary practice location
4209 Carmichael Rd
Montgomery, AL 36106-3601
Mailing address
4758 Grier Rd
Wetumpka, AL 36092-6105
Phone (334) 590-0164
Other names 1
- Miss Jessica Nicole Rylant
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2984 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Circle, LLC | Pediatrics | Current | Accepting new patients |
Locations
4209 Carmichael Rd
Montgomery, AL 36106
Phone (334) 356-1020
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, 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": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1619103603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4758 GRIER RD",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360926105",
"telephone_number": "334-590-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 CARMICHAEL RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063601",
"telephone_number": "334-356-1020",
"fax_number": "334-356-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JESSICA",
"middle_name": "RYLANT",
"name_prefix": "Mrs.",
"credential": "M.S.,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "2984",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AL",
"license": "2984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "RYLANT",
"middle_name": "NICOLE",
"prefix": "MISS",
"credential": "M.S., OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.