JESSICA NICOLE PETERSON OTD, OTR, IBCLC
NPI 1063136000
Occupational Therapist in Austin, TX

NPI Status: Active since October 03, 2022

Contact Information

1900 STEAMBOAT SPRINGS CV
AUSTIN, TX
ZIP 78746
Phone: (737) 235-7730

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  • Individual
  • Female
  • Occupational Therapist

About JESSICA PETERSON

This page provides the complete NPI Profile along with additional information for Jessica Peterson, a provider established in Austin, Texas with a medical specialization in Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1063136000 assigned on October 2022. The practitioner's primary taxonomy code is 225X00000X with license number 114690 (TX). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1063136000
Provider Name
JESSICA NICOLE PETERSON OTD, OTR, IBCLC
Gender
Female
Entity Type
Individual
Location Address
1900 STEAMBOAT SPRINGS CV AUSTIN, TX 78746
Location Phone
(737) 235-7730
Mailing Address
1900 STEAMBOAT SPRINGS CV AUSTIN, TX 78746
Is Sole Proprietor?
No
Enumeration Date
10-03-2022
Last Update Date
06-26-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
114690
License State
TX
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174N00000XOther Service Providers

Lactation Consultant, Non-RN

L-319245 (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063136000
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123231200
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 3 + 1 + 2 + 0 + 0 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063136000 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MATRESCENCE OCCUPATIONAL THERAPY, LLC

Occupational Therapist

1900 STEAMBOAT SPRINGS CV
AUSTIN, TX
ZIP 78746

(737) 235-7730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063136000, enumerated as an "individual" on October 03, 2022.

The provider is located at 1900 STEAMBOAT SPRINGS CV AUSTIN, TX 78746 and the phone number is (737) 235-7730.

Occupational Therapist with taxonomy code 225X00000X.