Jessica Nicole Peterson, OTD, OTR, CLC is a
Occupational Therapist based in Austin, Texas. Jessica Nicole Peterson is licensed to practice in Texas (license number 114690) and her current practice location is
1900 Steamboat Springs Cv, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at
(737) 235-7730.
NPI number for Jessica Nicole Peterson is 1063136000 and her current mailing address is 1900 Steamboat Springs Cv, Austin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063136000.
Healthcare Provider's Profile
Full Name | Jessica Nicole Peterson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1900 Steamboat Springs Cv, Austin, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063136000
- Provider Enumeration Date: 10/03/2022
- Last Update Date: 04/04/2024
Medical Identifiers
Medical identifiers for Jessica Nicole Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063136000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
174N00000X | Lactation Consultant, Non-rn | 353382 (Texas) | Secondary |
225X00000X | Occupational Therapist | 114690 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Nicole Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Nicole Peterson, OTD, OTR, CLC 1900 Steamboat Springs Cv, Austin, TX 78746-7612 Ph: () - | Jessica Nicole Peterson, OTD, OTR, CLC 1900 Steamboat Springs Cv, Austin, TX 78746-7612 Ph: (737) 235-7730 |
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