Active NPIIndividual provider

Jessica Bacon, OTR

Occupational Therapist in Leeds, Massachusetts

NPI Number1932402641
Practice location
421 N Main St, Leeds, MA 01053-9764
Fax
—
Last updated
August 18, 2025

Jessica Bacon is an Occupational Therapist based in Leeds, MA. Jessica Bacon practices in Leeds, MA and has the professional credentials of OTR. The NPI Number for Jessica Bacon is 1932402641 and holds a License No. 9958 (MA). The current practice location address for Jessica Bacon is 421 N Main St, Leeds, MA 01053-9764 and can be reached out via phone at 413-584-4040.

Provider Profile Details

NPI Number
1932402641
Provider Name
Jessica Bacon
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
421 N Main St, Leeds, MA 01053-9764
Phone Number
413-584-4040
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
December 20, 2010
Last Update Date
August 18, 2025
Certification Date
August 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
421 N Main St
Leeds, MA 01053-9764
City
Leeds
Zip
01053-9764
Phone Number
413-584-4040
Leeds, MA 01053Get directions →

Provider Business Mailing Address Details

Address
330 Sunderland RD Unit 56
Worcester, MA 01604-2528
City
Worcester
State
MA
Zip
01604-2528
Phone Number
617-645-9785

License Information

License Number
9958
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Bacon, OTR?

The NPI number of Jessica Bacon, OTR is 1932402641. It was assigned on December 20, 2010 and is currently active in the NPPES registry.

What is the specialty of Jessica Bacon, OTR?

Jessica Bacon, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 9958.

Where does Jessica Bacon, OTR practice?

The practice location is 421 N Main St, Leeds, MA 01053-9764. The office can be reached at 413-584-4040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932402641 directly on the NPPES registry website.

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