JESSICA L BRADFORD (NPI# 1093873390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093873390 |
| Entity Type | Individual |
| Full Name | JESSICA L BRADFORD |
| Credential | ORTL |
| Practice Address |
505 Keller Ave Sq Amery WI 54001 |
| Practice Telephone | 7152686900 |
| Practice Fax Number | 7152686895 |
| Mailing Telephone | 7152686900 |
| Mailing Fax Number | 7152686895 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4452 026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA INS | 6406747 | 01 | |
| HEALTH PARTNERS | HP66372 | 01 | |
| WI | 41037300 | 05 | |
| BC BS OF MN | 530COBR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993166 | Jessica Tayler Bradford | Specialist/Technologist | 2662 S 25th Ave, Yuma, AZ 85364-6829 | 2017-10-12 |
| 1578027215 | Jessica Kate Bradford | Behavior Technician | 916 Holgate Ct, Nashville, TN 37221-6630 | 2019-01-28 |
| 1861924979 | Jessica Renae Bradford | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2017-03-29 |
| 1073053922 | Jessica Bradford | Counselor | 610 Florence Ave, Owatonna, MN 55060-4704 | 2017-02-26 |
| 1275982712 | Jessica Leah Bradford | Psychologist | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2016-06-06 |
| 1811196181 | Jessica Nicole Bradford | Physical Therapy Assistant | 3459 Acworth Due West Rd Nw, Suite 410, Acworth, GA 30101-5819 | 2007-07-16 |
| 1962414599 | Jessica Dawn Bradford | Internal Medicine | Winchester Hospital, 41 Highland Avenue, Winchester, MA 01890 | 2006-08-12 |
| Street Address |
505 KELLER AVE SQ |
| City | AMERY |
| State | WI |
| Zip Code | 54001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124313424 | Heather Rose Marks | Dentist | 1030 Riverplace Drive, Amery, WI 54001 | 2011-06-14 |
| 1003142803 | Linda Christine Mueller | Counselor | 236 Griffin, Amery, WI 54001 | 2009-10-29 |
| 1952538548 | Samantha E. Kealey | Emergency Medicine | 265 Griffin St. E., Amery, WI 54001 | 2009-06-22 |
| 1578753448 | Bethann M Monson | Occupational Therapy Assistant | 220 N Keller Avene, Amery, WI 54001 | 2007-07-27 |
| 1912109851 | Jill R. Ladwig | Physical Therapy Assistant | 220 Keller Avenue, Amery, WI 54001 | 2007-06-04 |
| 1376601674 | Nancy A Reinhardt | Occupational Therapist | 505 Keller Ave S, Amery, WI 54001 | 2006-12-05 |
| 1548354244 | A Touch of Life Inc. | Chiropractor | 308 North Keller Avenue, Amery, WI 54001 | 2006-10-03 |
| 1568566057 | Douglas D Podoll Dds Dc | Dentist | 404 Wisconsin Ave, Amery, WI 54001 | 2006-09-12 |
| 1275928616 | Maria Finke | Emergency Medicine | 265 Griffin St E, Amery, WI 54001 | 2015-04-02 |
| 1790170280 | Elizabeth Robinson | Emergency Medicine | 265 Griffin St E, Amery, WI 54001 | 2015-04-01 |
| Find all providers in zip 54001 | ||||
| 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 |
|---|---|---|---|---|
| 1376601674 | Nancy A Reinhardt | Occupational Therapist | 505 Keller Ave S, Amery, WI 54001 | 2006-12-05 |
| 1841844107 | Lora Elizabeth Johnson | Occupational Therapist | 220 Keller Ave N, Amery, WI 54001-1036 | 2019-07-25 |
| 1922403260 | Sharon Ahlswede | Occupational Therapist | 220 Keller Ave N, Amery, WI 54001-1036 | 2014-10-29 |
| 1093989253 | Christine Boden Davis | Occupational Therapist | 400 Deronda St, Amery, WI 54001-1404 | 2008-04-18 |
| 1225178338 | Julie B. Burbach | Occupational Therapist | 220 Keller Ave N, Amery, WI 54001-1036 | 2007-02-07 |
| 1013057124 | Deborah F. Manni | Occupational Therapist | 220 Keller Ave N, Amery, WI 54001-1036 | 2007-02-07 |
| 1992867659 | Sunshine J Broeren | Occupational Therapist | 505 Keller Ave S, Amery, WI 54001 | 2006-12-15 |
| 1275691578 | Lisa D Schiebel | Occupational Therapist | 505 Keller Ave S, Amery, WI 54001 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1063026854 | Kate M Freiburger | Occupational Therapist | 3510 Sandy Hook Rd, Hazel Green, WI 53811-9797 | 2020-08-31 |
| 1245843267 | Kendall Thiry | Occupational Therapist | N2740 French Rd, Freedom, WI 54913-8919 | 2020-08-28 |
| 1336752203 | Dpt Holdings LLC | Occupational Therapist | 1054 Milwaukee Ave Ste 100, Burlington, WI 53105-1381 | 2020-08-28 |
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1477162022 | Stephanie Gloria Deis | Occupational Therapist | 1330 Okeeffe Ave Apt 113, Sun Prairie, WI 53590-4229 | 2020-07-29 |
| 1144844606 | Orthopaedic Centers of Wisconsin, S.c. | Occupational Therapist | 1405 Kenwood Drive Suite B, Wausau, WI 54401-2949 | 2020-06-01 |
| 1881217057 | Orthopedic Therapy Specialists, LLC | Occupational Therapist | 4535 N Habitat Way, Appleton, WI 54913-6727 | 2020-05-22 |
| 1053933051 | Marisa Capobianco | Occupational Therapist | 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406-4402 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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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.