Individual provider Active NPI

Andrea Lauren Jacobson, OTR/L

  • Occupational Therapist
  • Asheville, NC
National Provider Identifier
1881090165
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12235 Issued in NC
Practice address
77 Central Ave Ste E
Asheville, NC 28801-2451
Phone
(828) 277-1315
NPI assigned
Nov 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 12235 NC Primary

Addresses

Primary practice location

77 Central Ave Ste E
Asheville, NC 28801-2451

Mailing address

PO Box 802
Asheville, NC 28802-0802
Phone (828) 277-1315

Other practice location 1

87 Mills Pl
Asheville, NC 28804-1217
Phone (720) 833-8016

Other practice location 2

6 Roberts Rd Ste 105
Asheville, NC 28803-8631
Phone (828) 277-1315

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12235NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
F.I.R.S.T. CurrentSince Jul 1, 2022 Accepting new patients

Locations

77 Central Ave
Ste E
Asheville, NC 28801
Phone (828) 277-1315

6 Roberts Rd
Ste 105
Asheville, NC 28803
Phone (828) 274-1041

Organizations & group practices 1

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1881090165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288020802",
            "telephone_number": "828-277-1315",
            "fax_number": "828-277-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012451",
            "telephone_number": "828-277-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Mills Pl",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288041217",
            "country_code": "US",
            "telephone_number": "720-833-8016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Roberts Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038631",
            "country_code": "US",
            "telephone_number": "828-277-1315",
            "fax_number": "828-277-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ANDREA",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.