Active NPI
Jessica Haley Zizzi, MOTR/L
- Occupational Therapist
- St Maries, ID
National Provider Identifier
1740553726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 1116
- Practice address
- 820 Elm Dr
St Maries, ID 83861-2119 - Phone
- (208) 245-4576
- NPI assigned
- Feb 21, 2012
- Last updated
- Feb 21, 2012
- 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 | OT 1116 | ID | Primary |
Addresses
Primary practice location
820 Elm Dr
St Maries, ID 83861-2119
Mailing address
509 N Sullivan Rd Ste C424
Spokane Valley, WA 99037-8531
Phone (509) 879-3592
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 |
|---|---|---|---|
| OT 1116 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1740553726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 N SULLIVAN RD STE C424",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990378531",
"telephone_number": "509-879-3592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 ELM DR",
"city": "ST MARIES",
"state": "ID",
"postal_code": "838612119",
"telephone_number": "208-245-4576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIZZI",
"first_name": "JESSICA",
"middle_name": "HALEY",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-21",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT 1116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Maries, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.