Individual provider Active NPI

Jackie Asher, MOT, OTR/L

  • Occupational Therapist
  • Grand Island, NE
National Provider Identifier
1689068819
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2438 Issued in NE
Practice address
4012 Boston Cir
Grand Island, NE 68803-1537
Phone
(847) 571-3546
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 087219 IA
Occupational Therapist 225X00000X OT16835 FL
Occupational Therapist 225X00000X 2438 NE Primary

Addresses

Primary practice location

4012 Boston Cir
Grand Island, NE 68803-1537

Mailing address

4012 Boston Cir
Grand Island, NE 68803-1537
Phone (847) 571-3546

Other practice location 1

6924 W Linebaugh Ave
Tampa, FL 33625-5800
Phone (813) 962-6766

Other practice location 2

3740 Utica Ridge Rd Ste 4
Bettendorf, IA 52722-1657
Phone (563) 326-1400

Other names 1

  • Jackie De Peralta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
89.57
Improvement activities
40
Cost
71.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2438NEMDMental Health Counselor
OT16835FLMDOccupational Therapist
087219IAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1689068819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 BOSTON CIR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031537",
            "telephone_number": "847-571-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 BOSTON CIR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031537",
            "telephone_number": "847-571-3546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6924 W Linebaugh Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336255800",
            "country_code": "US",
            "telephone_number": "813-962-6766",
            "fax_number": "813-962-3017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3740 Utica Ridge Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527221657",
            "country_code": "US",
            "telephone_number": "563-326-1400",
            "fax_number": "563-326-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHER",
        "first_name": "JACKIE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "087219",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16835",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "DE PERALTA",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.