NERGIS JASSIM


Address: 33101 Annapolis St, Wayne, MI 48184-2405
Phone: 7344674000

NERGIS JASSIM (NPI# 1003386996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003386996
Entity Type Individual
Full Name NERGIS JASSIM
Practice Address 33101 Annapolis St
Wayne
MI 48184-2405
Mailing Address 21103 Fairview Dr
Dearborn Heights
MI 48127-2686
Practice Telephone 7344674000
Mailing Telephone 3139033338
Enumeration Date 2018-12-04
Last Update Date 2018-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 5302020392 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
21103 Fairview Dr, Dearborn Heights, MI 481272686 3139033338

Office Location

Street Address 33101 ANNAPOLIS ST
City WAYNE
State MI
Zip Code 48184-2405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952370579 Reginald E Marsack Psychologist 33101 Annapolis St, Wayne, MI 48184-2405 2006-03-16
1164603817 Padma Surapaneni Psychiatry & Neurology 33101 Annapolis St, Wayne, MI 48184-2405 2007-11-23
1730380262 Erma Owens Registered Nurse 33101 Annapolis St, Wayne, MI 48184-2405 2007-05-31
1548309065 Donna La Jean Cobb Registered Nurse 33101 Annapolis St, Suite B, Wayne, MI 48184-2405 2007-02-05
1720167166 Janice Marie Kornacki Psychologist 33101 Annapolis St, Wayne, MI 48184-2405 2006-11-05
1790865772 Ernest Bart Counselor 33101 Annapolis St, Wayne, MI 48184-2405 2006-10-16
1396833901 Nancy L Mcclure Social Worker 33101 Annapolis St, Wayne, MI 48184-2405 2006-10-10
1104913177 Thomas Edward Haefner Psychologist 33101 Annapolis St, Wayne, MI 48184-2405 2006-10-09
1790879021 Brenda Renee Scoggins Social Worker 33101 Annapolis St, Wayne, MI 48184-2405 2006-10-03
1285698159 Brenda A Boudreaux Social Worker 33101 Annapolis St, Suite B, Wayne, MI 48184-2405 2006-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215570932 Wayne Rx Pharmacy 4603 Wayne Rd, Wayne, MI 48184 2019-10-25
1669902433 Randi Oswald Massage Therapist 34336 Richard St., Wayne, MI 48184 2017-06-14
1306393822 Amanda Anastasoff Technician, Other 35640 West Michigan Avenue, Wayne, MI 48184 2016-09-01
1871941302 Christopher Schrimscher Technician, Other 34560 Michigan Avenue W, Wayne, MI 48184 2016-05-25
1659757334 Anna Bondy Technician, Other 35640 Michigan Ave. West, Wayne, MI 48184 2015-08-05
1992184550 Carrie Walrath Community Health Worker 4234 Niagara, Wayne, MI 48184 2015-05-28
1588043459 Suzanne Cutlip Case Manager/Care Coordinator 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 2015-05-26
1285021295 Alicia Allen Technician, Other 35640 Michigan Avenue West, Wayne, MI 48184 2015-04-17
1164843850 Julia Krivoy Nurse Anesthetist, Certified Registered 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 2013-12-23
1992130553 One Stop Pharmacy LLC Pharmacy 33950 Van Born Rd, Wayne, MI 48184 2013-09-13
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285231126 Gianna Neutts Occupational Therapist 2282 Hamburg Tpke Ste A, Wayne, NJ 07470-6291 2020-10-05
1477165934 Jillian Tumin Occupational Therapist 600 Valley Rd Ste 206a, Wayne, NJ 07470-3551 2020-08-17
1639789092 Matthew Horne Occupational Therapist 4356 Elizabeth St, Wayne, MI 48184-2154 2020-07-31
1003479981 Emily Dequinzio Occupational Therapist 1501 Hamburg Tpke Ste 305, Wayne, NJ 07470-4081 2019-04-17
1639635907 Elana Joy Brosnick Occupational Therapist 31 Fox Boro Rd, Wayne, NJ 07470-8442 2019-02-12
1760946453 Brynn Colleen Darpino Occupational Therapist 8 White Birch Ct, Wayne, NJ 07470-3850 2019-01-26
1144704594 Precision Therapy LLC Occupational Therapist 600 Valley Rd Ste 206, Wayne, NJ 07470-3535 2018-09-21
1881188076 Christine Nolan Occupational Therapist 1 Pike Drive, Wayne, NJ 07470 2018-06-20
1497251771 Jessica Stull Occupational Therapist 999 Old Eagle School Road, Suite 106, Wayne, PA 19087-1707 2018-04-04
1811394596 Ada Gomez Occupational Therapist 663 Black Oak Ridge Rd, Wayne, NJ 07470 2014-11-25
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Competitor

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City WAYNE
Zip Code 48184

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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