JESSICA NAMYOUNG JEONG OTD, OTR/L
NPI 1023891314
Occupational Therapist in Los Angeles, CA

Active since August 18, 2023Accepts Medicare Assignment
3617 AVALON BLVD STE 200, LOS ANGELES, CA 90011(909) 477-1595 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2025, Aug 18, 2023 (2 updates tracked since 2023).

About Jessica Namyoung Jeong Otd, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA NAMYOUNG JEONG OTD, OTR/L (NPI 1023891314) is an individual occupational therapist in Los Angeles, California, licensed in California (24388) and active in the NPI registry since August 2023. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1023891314
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJESSICA NAMYOUNG JEONGCredential: OTD, OTR/L
Location Address3617 AVALON BLVD STE 200Los Angeles, CA 90011-5601
Mailing Address13071 Jardene StEastvale, CA 92880-0946 · (909) 477-1595
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 18, 2023
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
NPI 1023891314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in CA · 24388
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3617 AVALON BLVD STE 200, Los Angeles, CA 90011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Namyoung Jeong Otd, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426572215
PECOS Enrollment IDI20250414003101

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Foot and Ankle Surgery)
3617 AVALON BLVD STE 200
LOS ANGELES, CA 90011
Orthopaedic Surgery (Hand Surgery)
3617 AVALON BLVD STE 200
LOS ANGELES, CA 90011
Orthopaedic Surgery
3617 AVALON BLVD STE 200
LOS ANGELES, CA 90011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Jeong's NPI number?

The NPI number for Jessica Jeong is 1023891314. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Jessica Jeong located?

Jessica Jeong practices at 3617 Avalon Blvd Ste 200, Los Angeles, CA 90011. The listed phone number is (909) 477-1595.

What is Jessica Jeong's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jessica Jeong enrolled in Medicare?

Yes. Jessica Jeong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessica Jeong was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.