Jessica Joyce Aquino Cruz, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-03835 Issued in KS

Practice address

3795 W 95TH St
Overland Park, KS 66206-2036

Phone

(913) 286-0422

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• KC Developmental Therapies, LLC

  • Speech-Language Pathologist
  • Overland Park, KS
  • NPI 1730513227
  NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1851986087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 N SUMMIT ST UNIT 3116",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184177",
            "telephone_number": "213-422-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662062036",
            "telephone_number": "913-286-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JESSICA JOYCE",
        "middle_name": "AQUINO",
        "name_prefix": "Ms.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2021006515",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crown Home Care Services LLC
• Nathan D. Croy, MAMFT, LCMFT
• Lucille Elizabeth Cruciani
• Amanda Crum, SLP-CF
• Nicholle Marie Cruse, APRN
• Suzanna Marie Cubit
• Justin Boles Cudnik, RDN
• Nayalisa M Cuevas
• Thomas Alonzo Cuevas, M.D.
• Jennifer Lynn Cullen, LCPC

• Occupational Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.