Jessica Erin Archer, M.A., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11508 Issued in CA

Practice address

11838 Bernardo Plaza CT Ste 110
San Diego, CA 92128-2414

Phone

(858) 673-5437

NPI assigned

Oct 30, 2010

Last updated

Oct 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Hardy and Lukes Physical Therapy, Inc.

  dba HealthPRO Pediatrics

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1356013650
  NPD (past)
• K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation

  dba HealthPRO Pediatrics

  • Pediatric Physical Therapist
  • San Diego, CA
  • NPI 1598724577
  NPD (past)

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

{
    "created_epoch": "1288396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288396800000",
    "number": "1720388226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 BERNARDO PLAZA CT STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11838 BERNARDO PLAZA CT STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282414",
            "telephone_number": "858-673-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "credential": "M.A., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-30",
        "last_updated": "2010-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Archambault, PT
• Benjamin James Archer, M.D.
• Cameron William Archer
• Chloe Ann Archer
• Erin Lucia Archer, RN
• Richard Archer
• Sarah Lovell Archer, LMFT
• Alianna Sophia Archibald
• John Baird Archibald, LVLN
• Sienna Archibek, BCBA

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.