Jillian Ferrell, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Purvis, MS
NPI 1831590827 · NPPES record last updated Sep 9, 2014
Key facts
- NPI
- 1831590827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- TA3001 (MS)
- Practice address
- 18 Par Four Dr
Purvis, MS 39475-3038 - Phone
- (601) 467-0702
- NPI assigned
- Sep 9, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA3001 | MS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | TA3001 | MS | Yes |
Addresses
Primary practice location
18 Par Four Dr
Purvis, MS 39475-3038
Mailing address
18 Par Four Dr
Purvis, MS 39475-3038
Other providers in Purvis, MS
- Drayer Physcial Therapy Mississippi LLC
- Stephanie Eatman
- Edl Medical, LLC
- Empowered Behavioral Solutions
- Joel Erves
- Katelyn Michelle Ford
- Keeley Gardner
- Angela Crabtree Gatlin
- Christopher Gleason
- Ashley Gray
All providers in Purvis, MS · Occupational Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.