Active NPI
Jillian Marcucci, M.A.
- Occupational Therapist
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 451605
- Practice address
- 63311 Jamison St
Bend, OR 97703-8288 - Phone
- (541) 322-7500
- Fax
- (541) 322-7565
- NPI assigned
- Jun 25, 2020
- Last updated
- Dec 16, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 451605 | OR | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
63311 Jamison St
Bend, OR 97703-8288
Mailing address
2577 NE Courtney Dr
Bend, OR 97701-7752
Phone (541) 322-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deschutes County Oregon | Current | Accepting new patients | |
| Deschutes County Oregon | Current | Accepting new patients | |
| La Pine Community Health Center | Current | Accepting new patients | |
| La Pine Community Health Center | Current | Accepting new patients | |
| Jillian Marcucci, LLC | Occupational Therapist | Current | Accepting new patients |
| Para Los Ninos | Past | Accepting new patients |
Locations
2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400
51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129
51600 Huntington Rd
Ste 101
La Pine, OR 97739
Phone (541) 536-3435
51600 Huntington Rd
Ste C
La Pine, OR 97739
Phone (541) 536-3435
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- La Pine, OR
- NPI 1639316193
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bend, OR
- NPI 1235172180
-
- State or Local Public Health Clinic/Center
- Bend, OR
- NPI 1023056017
-
- Health Educator
- Bend, OR
- NPI 1598323040
-
- Federally Qualified Health Center (FQHC)
- Gilchrist, OR
- NPI 1669889341
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1073637567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1922625904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 NE COURTNEY DR",
"city": "BEND",
"state": "OR",
"postal_code": "977017752",
"telephone_number": "541-322-7500",
"fax_number": "541-322-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63311 JAMISON ST",
"city": "BEND",
"state": "OR",
"postal_code": "977038288",
"telephone_number": "541-322-7500",
"fax_number": "541-322-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUCCI",
"first_name": "JILLIAN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "451605",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.