Christian Blake Jesse, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2703 Issued in AL

Practice address

420 Dean Dr
Gardendale, AL 35071-2763

Phone

(205) 631-8709

NPI assigned

Mar 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1942068085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 POST OAK DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350235795",
            "telephone_number": "256-531-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DEAN DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712763",
            "telephone_number": "205-631-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSE",
        "first_name": "CHRISTIAN",
        "middle_name": "BLAKE",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AL",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & J Drugs Corp
• Terri L Jackson, LCSW
• Alicia Shanti James, PHD
• Julie Jefferson
• Susanna Hope Jefferson, CRNP
• Niya Johnson-Poole
• Cynthia Layne Johnson
• Lori Elizabeth Johnston
• Jonathan L Levine MD, PC
• Anna H. Jones, P.T.

• Occupational Therapy Assistant in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Occupational Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.