Jessica Marie Ernsthausen, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14376 Issued in FL

Practice address

3036 25TH Ave N
Saint Petersburg, FL 33713-3826

Phone

(727) 210-5981

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1730792706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 54TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337032744",
            "telephone_number": "727-210-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 25TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337133826",
            "telephone_number": "727-210-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNSTHAUSEN",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Draughon Erickson, LCSW
• Liesa Clare Erickson, PA-C
• John Ermatinger, LMT
• Austin Erney
• Ernst E. Vieux, Jr., M.D., P.a.
• Larry L Ertel, M.D.
• Lynn Eschenbacher, PHARMD
• Juan A Escobales, M.D.
• Richard Ralph Escobar, DMD, MSD
• Carolina Escobedo, DMD

• Occupational Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.