JESSICA REVELLS (NPI# 1144669052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144669052 |
| Entity Type | Individual |
| Full Name | JESSICA REVELLS |
| Credential | COTA/L |
| Practice Address |
734 Manchester Loop Fairbanks AK 99712-1120 |
| Practice Telephone | 9073884426 |
| Mailing Telephone | 9073884426 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2019 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | STATE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY BOARD COTA | 2019 | 01 |
| Street Address |
734 MANCHESTER LOOP |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99712-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295216687 | Janet Lynn Juenke | Massage Therapist | 615 O'leary Rd, Fairbanks, AK 99712 | 2018-08-24 |
| 1730618422 | Melody Waldroup | Massage Therapist | 845 Birch Hill Rd, Fairbanks, AK 99712 | 2017-06-07 |
| 1154715928 | Relax Your Mind, Body and Soul | Clinic/Center | 559 Golden Morn St, Fairbanks, AK 99712 | 2015-03-19 |
| 1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
| 1588871628 | Country Estates Inc | Assisted Living Facility | 240 Peregrine Drive, Fairbanks, AK 99712 | 2007-05-17 |
| 1275754012 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 7609 Chena Hot Springs Rd, Fairbanks, AK 99712 | 2007-05-01 |
| 1750717922 | Moveit Physical Therapy, LLC | Clinic/Center | 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 | 2013-09-19 |
| 1134455397 | Farmers Loop Home, LLC | Assisted Living Facility | 1002 Senate Loop, 1002 Senate Loop, Fairbanks, AK 99712-1130 | 2009-10-22 |
| 1417227752 | Viola L Mccain | Social Worker | 1335 Skyline Dr, Fairbanks, AK 99712-1151 | 2012-01-04 |
| 1043462062 | Shirley Harris | Physical Therapy Assistant | 324 Skyridge Dr, Fairbanks, AK 99712-1205 | 2008-10-22 |
| Find all providers in zip 99712 | ||||
| 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 |
|---|---|---|---|---|
| 1326285065 | Sarah Zemojtel | Occupational Therapy Assistant | 140 Chapman Ct, Fairbanks, AK 99709-2927 | 2009-01-16 |
| 1992242101 | Shawna Bailey | Occupational Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2017-01-25 |
| 1932524642 | Mckenzie Reece Smith | Occupational Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2014-03-04 |
| 1407196389 | Krystle Monique Hunter | Occupational Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2013-02-28 |
| 1780954081 | Linnea John | Occupational Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2012-01-04 |
| 1932351533 | Devra Norling | Occupational Therapy Assistant | 3550 Airport Way, Unit 4, Fairbanks, AK 99709-4760 | 2008-10-15 |
| 1922250422 | Mary K Early | Occupational Therapy Assistant | 3550 Airport Way, Unit 4, Fairbanks, AK 99709-4760 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972099158 | Josephine Mary Ryan | Occupational Therapy Assistant | 1230 Ocean Dr Ste 2, Homer, AK 99603-7911 | 2018-07-10 |
| 1740666825 | Melissa Godines | Occupational Therapy Assistant | 1617 Blackhawk Way Unit B, Jber, AK 99505-1305 | 2015-07-30 |
| 1093127151 | Shawna Schliesman | Occupational Therapy Assistant | 7335 E. Palmer-wasilla Hwy, Suite 1a, Palmer, AK 99645 | 2014-05-23 |
| 1447684790 | Elaine Carol James | Occupational Therapy Assistant | 5432 E Northern Lights Blvd # 427, Anchorage, AK 99508-4713 | 2013-08-22 |
| 1477836898 | Darla Lee Evans | Occupational Therapy Assistant | 4364 W Little Rain Rd, Wasilla, AK 99623-0880 | 2011-09-21 |
| 1063741981 | Ashley Elisabeth Bailey | Occupational Therapy Assistant | 7335 East Palmer Wasilla Hwy., Suite 1-a, Palmer, AK 99645-0321 | 2009-12-24 |
| 1871822064 | Living Therapeutics | Occupational Therapy Assistant | 7335 East Palmer-wasilla Hwy, Suite 1-a, Palmer, AK 99645 | 2009-12-17 |
| 1497374821 | Stephen John Reinheimer II | Occupational Therapy Assistant | 7200 Jim Cottrell Circle, Palmer, AK 99687-0000 | 2020-04-15 |
| 1457911661 | Mariah Susan Cheevers | Occupational Therapy Assistant | 221 W Marydale Ave, Soldotna, AK 99669-7420 | 2019-06-19 |
| 1740848472 | Heidi Burns | Occupational Therapy Assistant | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2019-05-29 |
| 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.