Individual provider · Type 1 NPI

Jessica Nicole Peterson, OTD, OTR, IBCLC

Occupational Therapist · Austin, TX

NPI number 1063136000 Active

Practice location

1900 Steamboat Springs Cv
Austin, TX 78746-7612

Specialties and licenses

Taxonomy	Code	License
Lactation Consultant (Non-RN)	174N00000X	L-319245 (TX)
Occupational Therapist Primary	225X00000X	114690 (TX)

Occupational Therapist: 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…

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About NPI 1063136000

Jessica Nicole Peterson, OTD, OTR, IBCLC's National Provider Identifier is 1063136000, issued on Oct 3, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Austin, TX. The record was last updated on Jun 26, 2025.