Individual provider Active NPI

Jessica O'Brien, MOT,OTR/L

  • Occupational Therapist
  • West Valley City, UT
National Provider Identifier
1902462765
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8395470-4201 Issued in UT
Practice address
4027 S Castle View Dr
West Valley City, UT 84128-4267
Phone
(435) 938-1698
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14095043-4701 UT
Occupational Therapist 225X00000X 8395470-4201 UT Primary

Addresses

Primary practice location

4027 S Castle View Dr
West Valley City, UT 84128-4267

Mailing address

4027 S Castle View Dr
West Valley City, UT 84128-4267
Phone (435) 938-1698

Other names 1

  • Mrs. Jessica O'Brien Professional name

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
14095043-4701UTMDMassage Therapist
8395470-4201UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denton Community Health Clinic PastSince Aug 29, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19295/brand/1/csg/1/fhir/r4

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1902462765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 S CASTLE VIEW DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841284267",
            "telephone_number": "435-938-1698",
            "fax_number": "940-383-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 S CASTLE VIEW DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841284267",
            "telephone_number": "435-938-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JESSICA",
        "credential": "MOT,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "14095043-4701",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "8395470-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "O'BRIEN",
            "prefix": "MRS.",
            "credential": "MOT,OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.