Active NPI
Jessica Elaine Michaels, COTA
- Occupational Therapist
- Knoxville, TN
National Provider Identifier
1730401654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1516
- Practice address
- 4309 Northgate Dr
Knoxville, TN 37938-4344 - Phone
- (865) 414-3788
- NPI assigned
- Feb 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1516 | TN | Primary |
Addresses
Primary practice location
4309 Northgate Dr
Knoxville, TN 37938-4344
Mailing address
2120 Highland Ave
Knoxville, TN 37916-1112
Phone (865) 525-4131
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1516 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1730401654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 HIGHLAND AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161112",
"telephone_number": "865-525-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 NORTHGATE DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379384344",
"telephone_number": "865-414-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "JESSICA",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "1516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
- Michael T Petty DC PLLC (Concord Chiropractic Clinic)
- Michael W. Hill, MD, PC
- Derek Allen Michael, PA
- Patricia Ann Michael, PH.D., CCC-SLP
- Claire Shell Michaels, MSN, APRN, FNP-C
- Nicole Michalak
- James P Michalik, PT
- Julie Michalik, B.A.
- Sarah Hope Michalik, M.S., CCC-SLP
- Christy Lorraine Michaluk, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.