Individual provider Active NPI

Jessica Ziegler

  • Occupational Therapist
  • Williston, ND
National Provider Identifier
1861536443
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
972 Issued in ND
Practice address
1502 13TH Ave W Ste 101
Williston, ND 58801-3825
Phone
(701) 651-4325
Fax
(844) 787-1839
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 972 ND Primary

Addresses

Primary practice location

1502 13TH Ave W Ste 101
Williston, ND 58801-3825

Mailing address

1502 13TH Ave W Ste 101
Williston, ND 58801-3825
Phone (701) 651-4325

Other identifiers 1

IdentifierTypeStateIssuer
0349336MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000383 ND Practitioner - Occupational Therapist in Private Practice 6103972096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live in Motion Physical Therapy Specialists PLLCGroup PAC ID 2668768581, 6 clinicians

Practice addresses (Care Compare)

1502 13TH Ave W
Suite 101
Williston, ND 58801-3825
Phone (701) 651-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
972NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Live in Motion Physical Therapy Specialists, PLLC Occupational Therapist CurrentSince Dec 12, 2022 Accepting new patients
Applied Medical, Inc Occupational Therapist Past Accepting new patients

Locations

1502 13th Ave W
Ste 101
Williston, ND 58801
Phone (701) 651-4325

1502 13th Ave W
Williston, ND 58801
Phone (701) 572-6766

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1861536443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 13TH AVE W STE 101",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013825",
            "telephone_number": "701-651-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 13TH AVE W STE 101",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013825",
            "telephone_number": "701-651-4325",
            "fax_number": "844-787-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349336",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.