Jessica Anderson
Occupational Therapist in Booneville, KY. Individual provider (NPI-1).
NPI number1699239236
StatusActive
Last updated in NPPESJan 28, 2019
Details
- NPI
- 1699239236
- Entity type
- Individual (NPI-1)
- Name
- Jessica Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2019
- Last updated
- Jan 28, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | BOTOCT00195835 | KY | Yes |
Practice location
20 County Barn RdBooneville, KY 41314-6500
Phone 606-593-6302
Mailing address
105 Popular LnManchester, KY 40962-6000
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