JENNIFER DAVIDSON (NPI# 1013479575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013479575 |
| Entity Type | Individual |
| Full Name | JENNIFER DAVIDSON |
| Credential | OT |
| Practice Address |
2300 N Rockton Ave Rockford IL 61103-3619 |
| Practice Telephone | 8159712000 |
| Mailing Telephone | 8159712000 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056011452 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095206 | Jennifer Teresa Michelle Davidson | Midwife | 37203 Snickersville Tpke, Purcellville, VA 20132-4920 | 2020-02-21 |
| 1174168587 | Jennifer Helen Davidson | Substance Abuse Rehabilitation Facility | 68 Yacht Club Dr Apt 17, North Palm Beach, FL 33408-3934 | 2019-11-08 |
| 1215422134 | Jennifer Lynn Davidson | Behavioral Analyst | 1298 Capital Gains Dr Unit 2, Henderson, NV 89074-8831 | 2018-06-23 |
| 1871009910 | Jennifer L Davidson | Naturopath | 8577 N Richmond Ave, Portland, OR 97203-3149 | 2017-12-27 |
| 1619212503 | Jennifer Davidson | Student in an Organized Health Care Education/Training Program | 11 Charlotte Dr, Spring Valley, NY 10977-1020 | 2012-12-03 |
| 1659638310 | Jennifer Michelle Davidson | Pediatrics | 853 Jefferson Ave Ste 201, Memphis, TN 38103 | 2012-04-19 |
| 1417967159 | Jennifer Leigh Davidson | Speech-Language Pathologist | 10804 Huffmeister Rd Ste D, Houston, TX 77065-3178 | 2006-08-08 |
| 1437768694 | Jennifer M Davidson | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-07-23 |
| 1144715103 | Jennifer Katherine Davidson | Pharmacist | 3350 Peachtree Rd Ne, Atlanta, GA 30326-1039 | 2018-06-22 |
| 1689110785 | Jennifer Davidson | Optometrist | 485 Oakdale Rd Ne, Apt C36, Atlanta, GA 30307 | 2017-01-12 |
| Street Address |
2300 N ROCKTON AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394696 | Affiliated Surgeons of Rockford LLC | Surgery | 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 | 2005-05-24 |
| 1538768056 | Patti J Wakefield | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-10-26 |
| 1235759192 | Kathryn N Norup | Physical Therapy Assistant | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-04-21 |
| 1407401912 | Eric Paulos | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-08-02 |
| 1508321597 | Megan Lee Haas | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-02-05 |
| 1336634179 | Molly C Grosvenor | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-06-25 |
| 1750870291 | Lori Ann Moroz | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-05-09 |
| 1063914760 | Erika J Oltmanns | Dietitian, Registered | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-03-08 |
| 1578074753 | Dennis Durano Magdadaro | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2017-10-16 |
| 1407387020 | Kamela Harmon | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2017-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
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| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134654031 | Kiley Wallden | Occupational Therapist | 4617 White Oak Ave, Rockford, IL 61114-6235 | 2017-04-27 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1043672611 | Ann Licari | Occupational Therapist | 4123 Singleton Rd, Rockford, IL 61114-6159 | 2016-03-23 |
| 1497142616 | Adrienne Samuel | Occupational Therapist | 2123 Clinton St, Rockford, IL 61103-4104 | 2015-04-26 |
| 1417394099 | Jensine Houghton | Occupational Therapist | 4010 Woodhill Ct, Rockford, MN 55373-9105 | 2013-05-23 |
| 1194048041 | Nita Patel | Occupational Therapist | 960 Tulip Ln Apt 4, Rockford, IL 61107-5738 | 2010-03-07 |
| 1336377993 | Colleen Mary Mcdonald | Occupational Therapist | 417 N Rockford Ave, Rockford, IL 61107-4548 | 2009-06-23 |
| 1831368463 | Jennifer Papoccia | Occupational Therapist | 1411 E Gate Pkwy, Rockford, IL 61108-6140 | 2008-02-28 |
| 1124297759 | Letitia Taylor | Occupational Therapist | 3250 Brook Harbour Dr, Rockford, IL 61114-6650 | 2008-02-28 |
| 1639375728 | Ellen M Marqua | Occupational Therapist | 3108 Rural St, Rockford, IL 61107-3461 | 2007-06-25 |
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| 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.