Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Breanne Pham, OTR, MOT

Individual provider Occupational Therapist · NPI 1720849151

Jessica Breanne Pham, OTR, MOT is an Occupational Therapist in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

700 E State Highway 114
Southlake, TX 76092-5236
Phone: (817) 873-2582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 122746 (TX)

Record details

NPI number1720849151
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR , MOT
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

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