Jessa Nord
Individual provider Active NPI Occupational Therapist · Huntingburg, IN
NPI 1669980561 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1669980561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31006307A (IN)
- Practice address
- 2625 E 250S
Huntingburg, IN 47542-9543 - Phone
- (812) 309-1983
- NPI assigned
- Jan 14, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31006307A | IN | MD | Occupational Therapist |
| 172406 | KY | MD | Occupational Therapist |
| OTP-OT-LIC-7676 | MT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTP-OT-LIC-7676 | MT | |
| Occupational Therapist | 225X00000X | 172406 | KY | |
| Occupational Therapist | 225X00000X | 31006307A | IN | Yes |
Addresses
Primary practice location
2625 E 250S
Huntingburg, IN 47542-9543
Mailing address
2625 E 250S
Huntingburg, IN 47542-9543
Phone (812) 309-1983
Other practice location 1
2701 Chestnut Station Ct
Louisville, KY 40299-6395
Phone (800) 335-1060
Other practice location 2
118 Medical Dr
Carmel, IN 46032-2923
Phone (317) 573-1037
Other providers in Huntingburg, IN
- Frances Anne Macdonald
- Amanda Mann
- Sara Matthews
- Jill Meiring
- Newburgh Anesthesia Associates, LLC
- Normal Life of Indiana
- Nicholas Alan Olinger
- Optimal Performance Chiropractic, LLC
- Angela Osborn
- Amy D Osborne
All providers in Huntingburg, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. 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.