Jessica B Eastman, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

642 Issued in WY

Practice address

310 E Broadway Ave Ste 8
Jackson, WY 83001-8636

Phone

(307) 413-8580

NPI assigned

Apr 23, 2008

Last updated

Mar 13, 2019By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Grand Steps Therapy, PC

  • Occupational Therapist
  • Jackson, WY
  • NPI 1386952588
  NPD (past) Authorized official

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1801061791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12438",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830022438",
            "telephone_number": "307-413-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E BROADWAY AVE STE 8",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018636",
            "telephone_number": "307-413-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "JESSICA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "315436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Louis Durham, PTA
• John Dudley Duross, PA-C
• Leann M. Dzemske, M. SC., LPC, ATR
• Molly Katherine Eagar, RN
• East Jackson Mental Health
• Anna Sigrid Eide, RD
• Elk Ridge Dental
• Elkridge Dental South LLC
• Samantha Elkrief, LCSW
• Julie Elledge, LMFT182

• Occupational Therapist in Jackson, WY
• Providers in Jackson, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.