Jessica Clickener, OTR/L, M.A.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2108 Issued in AR

Practice address

1102 Winkler Ave
Killeen, TX 76542-6249

Phone

(254) 634-8505

NPI assigned

Apr 11, 2007

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

Other names 1

• Jessica Lott Former name

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

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Spot 4 Therapy, LLC

  • Occupational Therapist
  • Killeen, TX
  • NPI 1578041398
  NPD Authorized official
• Barr Physical Therapy, P.C.

  • Pediatric Physical Therapist
  • Killeen, TX
  • NPI 1306927553

  Occupational Therapist

  NPD (past)
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1003991506
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1740403385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 WATER OAK DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424551",
            "telephone_number": "361-523-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 WINKLER AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426249",
            "telephone_number": "254-634-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLICKENER",
        "first_name": "JESSICA",
        "credential": "OTR/L, M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LOTT",
            "credential": "M.A., OTR./L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Drew Cleavinger
• Jillian Cleland, SLP
• Haley Keiandre Clemons
• Vonkeycha Clemons, RBT
• Jane B Cleveland, MS-CCC
• Cline Therapies LLC
• Jesan Cloribel
• Julienne Clowney
• Doree Coakwell
• Lori Coats

• Occupational Therapist in Killeen, TX
• Providers in Killeen, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.