Jessica Marie Helm, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2164 Issued in OK

Practice address

220 Village Cir
Ponca City, OK 74601-4021

Phone

(580) 830-0667

Fax

(580) 576-7553

NPI assigned

Jan 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Children S Therapy Zone LLC

  • Occupational Therapist
  • Ponca City, OK
  • NPI 1679172951

  Occupational Therapy Assistant

  NPD Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1972193670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 VILLAGE CIR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014021",
            "telephone_number": "580-830-0667",
            "fax_number": "580-576-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VILLAGE CIR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014021",
            "telephone_number": "580-830-0667",
            "fax_number": "580-576-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELM",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2164",
            "primary": true
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "OK",
            "license": "2164",
            "primary": false
        },
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "OK",
            "license": "2164",
            "primary": false
        },
        {
            "code": "224ZL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": "OK",
            "license": "2164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200938460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quailla Marrianne Hazen
• Healing Heart and Mind Counseling, LLC
• Healthback of Central Oklahoma, Inc.
• Heartland Hearing Aid Center
• Roberta Heath, BHRS
• Tara Hembree
• Tim Henslee, COTA
• Melissa Sue Herman, COTA/L
• Tracy Hernandez Homan
• Brian G Herren

• Occupational Therapy Assistant in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.