Active NPI
Jessica Millwood, OTR/L
- Occupational Therapist
- Cherryville, NC
National Provider Identifier
1861109696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15494
- Practice address
- 401 W Academy St
Cherryville, NC 28021-3101 - Phone
- (704) 445-1554
- NPI assigned
- Nov 1, 2022
- Last updated
- Nov 1, 2022
- 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 | 15494 | NC | Primary |
Addresses
Primary practice location
401 W Academy St
Cherryville, NC 28021-3101
Mailing address
2701 Chestnut Station CT
Louisville, KY 40299-6395
Phone (800) 335-1060
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15494 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1861109696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 CHESTNUT STATION CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402996395",
"telephone_number": "800-335-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W ACADEMY ST",
"city": "CHERRYVILLE",
"state": "NC",
"postal_code": "280213101",
"telephone_number": "704-445-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLWOOD",
"first_name": "JESSICA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherryville, NC
- Katelin Fox Lowe, PT, DPT
- Lauren Anne Lubejko, PA
- Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
- Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
- Medical Center Pharmacy of Cherryville Inc
- Harsha Mirchandani, MPT
- Bill Eugene Moses Jr., PTA
- Natalie Allison Moss, CFTS
- Timothy Craft Moss, CFTS
- Stephanie Randall Mulvey, RPH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.