JESSICA C LYSKAWA (NPI# 1063061091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063061091 |
| Entity Type | Individual |
| Full Name | JESSICA C LYSKAWA |
| Other Name | JESSICA BILLICK |
| Credential | COTA |
| Practice Address |
26001 Ford Rd Dearborn Heights MI 48127-2920 |
| Mailing Address |
9997 Andover Dr Van Buren Twp MI 48111-1738 |
| Practice Telephone | 3132744600 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202007957 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
26001 FORD RD |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457391872 | Heartland of Dearborn Heights Mi LLC | Skilled Nursing Facility | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2006-06-07 |
| 1114497385 | Rita Jean Spiller | Speech-Language Pathologist | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2018-11-30 |
| 1225508567 | Kristen Radwan | Occupational Therapist | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2018-11-29 |
| 1114497633 | Jill Gwendolyn Bonell | Occupational Therapist | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2018-11-27 |
| 1992274047 | Dalia Rogers | Occupational Therapist | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2018-11-19 |
| 1326517442 | Romel Tapawan | Physical Therapist | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2018-11-19 |
| 1619446937 | Joselito Lozada | Physical Therapist | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2018-11-15 |
| 1154890614 | Debra Lynn Ferman | Occupational Therapist | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2018-11-14 |
| 1952870412 | Enida Huremovic | Occupational Therapist | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2018-11-14 |
| 1720557200 | Clifford Oraa | Physical Therapist | 26001 Ford Rd, Dearborn Heights, MI 48127-2920 | 2018-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801168588 | Cheryl A Leonard | Occupational Therapy Assistant | 26532 Powers Ave, Dearborn Heights, MI 48125-1304 | 2012-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941199 | Juanita Samantha Williams | Occupational Therapy Assistant | 6837 Grandville Ave, Detroit, MI 48228-3984 | 2020-10-30 |
| 1508464785 | Shaun Watson | Occupational Therapy Assistant | 7272 Eastern Ave Se, Grand Rapids, MI 49508-7436 | 2020-10-11 |
| 1285231563 | Jennifer L Herrera | Occupational Therapy Assistant | 10189 Elizabeth Lake Rd, White Lake, MI 48386-2736 | 2020-10-08 |
| 1518564178 | Stephanie Suzanne Jett | Occupational Therapy Assistant | 32295 Farmersville Rd, Farmington Hills, MI 48334-3500 | 2020-10-07 |
| 1801400734 | Domenique Mcmahan | Occupational Therapy Assistant | 3012 Holben Ct, Lake Orion, MI 48360-1671 | 2020-09-08 |
| 1659985513 | Claudia Jeanne Perry | Occupational Therapy Assistant | 3895 Lone Pine Rd Apt 302, West Bloomfield, MI 48323-2939 | 2020-09-08 |
| 1891305363 | Stephanie Lynn Lembach-witmer | Occupational Therapy Assistant | 11378 Autumn Breeze Trl, Clio, MI 48420-1592 | 2020-08-08 |
| 1215565445 | Brook Keller | Occupational Therapy Assistant | 8371 Fairlane Dr Apt 5, Birch Run, MI 48415-9774 | 2020-04-01 |
| 1790311033 | Emily E Coleman | Occupational Therapy Assistant | 4465 Bristolwood Dr, Flint, MI 48507-3722 | 2020-03-18 |
| 1144853789 | Marissa Marie Bennwitz | Occupational Therapy Assistant | E5324 Sunset Rd, Ironwood, MI 49938-9342 | 2020-02-21 |
| Find all providers with the same taxonomy | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
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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.