JESSICA ELIZABETH STANFORD OTR/L CHT
NPI 1689693988
Specialist in Hollister, CA

Active since July 18, 2006
961A SUNSET DR, HOLLISTER, CA 95023(831) 635-1135 Get Directions Write a Review

NPPES record last updated: December 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Elizabeth Stanford Otr/l Cht NPPES

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

JESSICA ELIZABETH STANFORD OTR/L CHT (NPI 1689693988) is an individual specialist in Hollister, California, licensed in California (OT 2693) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1689693988
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJESSICA ELIZABETH STANFORDCredential: OTR/L CHT
Location Address961A SUNSET DRHollister, CA 95023-5602
Mailing Address961a Sunset DrHollister, CA 95023-5602 · (831) 635-1135
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateDecember 16, 2023
NPPES CertifiedDecember 16, 2023
NPI 1689693988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · OT 2693
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedOccupational Therapist · HandTaxonomy 225XH1200X · License 2693 (CA)
961A SUNSET DR, Hollister, CA 95023

Other Names 1

Former Name (1)Jessica Mills

Other Identifiers 2

OtherOT 2693CA · Ot License
OtherZZZ02630ZCA · Medicare Provider Number

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.

Occupational Therapy Assistant
961A SUNSET DR
HOLLISTER, CA 95023
Physical Therapist
961A SUNSET DR
HOLLISTER, CA 95023
Physical Therapist
961A SUNSET DR
HOLLISTER, CA 95023

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689693988, enumerated as an "individual" on July 18, 2006.

The provider is located at 961A SUNSET DR HOLLISTER, CA 95023 and the phone number is (831) 635-1135.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.