MRS. JEANINE PATRICIA DAVIS (NPI# 1164794897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164794897 |
| Entity Type | Individual |
| Full Name | MRS. JEANINE PATRICIA DAVIS |
| Other Name | MRS. JEANINE PATRICIA PORTLOCK |
| Credential | COTA |
| Practice Address |
2350 Taft St Gary IN 46404-3349 |
| Mailing Address |
5299 Lyndell Ave Portage IN 46368-1847 |
| Practice Telephone | 2199772600 |
| Mailing Telephone | 2197636504 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32000437A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340479 | Jeanine Davis | Technician, Other | 3540 Nw 8th St, Lauderhill, FL 33311-6416 | 2020-09-14 |
| 1861567521 | Jeanine Monique Davis | Pharmacist | 2136 12th St, Kenner, LA 70062-6563 | 2006-11-21 |
| Street Address |
2350 TAFT ST |
| City | GARY |
| State | IN |
| Zip Code | 46404-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306953740 | Major Hospital | Skilled Nursing Facility | 2350 Taft St, Gary, IN 46404-3349 | 2006-08-23 |
| 1487934451 | Melissa Ann Villagomez | Speech-Language Pathologist | 2350 Taft St, Gary, IN 46404-3349 | 2011-08-23 |
| 1295937878 | Meicell Amor Dacanay Diapana | Physical Therapist | 2350 Taft St, Gary, IN 46404-3349 | 2007-06-05 |
| 1275734949 | Kenneth Edward Anderson | Speech-Language Pathologist | 2350 Taft St, Timberview Health Care Center, Gary, IN 46407 | 2007-05-30 |
| 1144436999 | Gay Karen Geulen | Physical Therapist | 2350 Taft St, Gary, IN 46404-3349 | 2007-05-15 |
| 1336368703 | Rosa Marie Smith | Occupational Therapist | 2350 Taft St, Gary, IN 46404-3349 | 2007-04-24 |
| 1538385570 | Lela Jane Riordan | Occupational Therapy Assistant | 2350 Taft St, Gary, IN 46404-3349 | 2007-04-18 |
| 1376769448 | James Tan Geulen Jr. | Physical Therapist | 2350 Taft St, Gary, IN 46404-3349 | 2007-04-17 |
| 1740405059 | Rodney D Smith | Physical Therapy Assistant | 2350 Taft St, Gary, IN 46404-3349 | 2007-04-13 |
| 1346465655 | Rey Sararana | Physical Therapist | 2350 Taft St, Gary, IN 46404-3349 | 2007-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447672431 | Night Owl Inc. Home Care | In Home Supportive Care | 2209 Marshall St., Gary, IN 46404 | 2014-01-10 |
| 1881974608 | Verlilia Ann Pettigrew | Community Health Worker | 2144 Taney Pl, Gary, IN 46404 | 2011-08-24 |
| 1871682161 | Bmo Home Health Care Inc | Home Health | 1970 Grant Street, Gary, IN 46404 | 2006-10-12 |
| 1225064793 | Medical Supply Plus Inc | Durable Medical Equipment & Medical Supplies | 1982 Grant Street, Gary, IN 46404 | 2006-06-24 |
| 1275808065 | Suma Suresh Nair | Occupational Therapist | 2350 Taft Street, Timberview Health Care, Gary, IN 46404 | 2012-03-13 |
| 1093123234 | Lynne Marie Clapman | Nurse Practitioner | 1619 W. 5th Ave, Gary, IN 46404-0789 | 2014-07-31 |
| 1609193770 | Sandra A Scott | Custodial Care Facility | 300 Taft St, Gary, IN 46404-1016 | 2010-04-28 |
| 1760682652 | Marion Bernice Miller | Registered Nurse | 260 Arthur St, Gary, IN 46404-1118 | 2007-07-19 |
| 1932708575 | Jasmine Anita Johnson | Nurse's Aide | 431 Hayes St, Gary, IN 46404-1135 | 2020-10-24 |
| 1700086402 | Rosa L Murphy | Home Health Aide | 324 Mckinley St, Gary, IN 46404-1144 | 2007-07-20 |
| Find all providers in zip 46404 | ||||
| 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 |
|---|---|---|---|---|
| 1902365505 | Schorre Joel Headd | Occupational Therapy Assistant | 4533 Harrison St, Gary, IN 46408-3929 | 2019-03-14 |
| 1265914261 | Judy Norma Best | Occupational Therapy Assistant | 4833 Connecticut St, Gary, IN 46409-2452 | 2018-09-05 |
| 1184120719 | Loren Carroll Stephenson | Occupational Therapy Assistant | 4452 Fm 10, Gary, TX 75643-4310 | 2018-04-03 |
| 1811331796 | Raven S Gordon | Occupational Therapy Assistant | 2425 Arthur St, #107, Gary, IN 46404-3563 | 2013-04-23 |
| 1467099572 | Gloria Lizeth Arellano | Occupational Therapy Assistant | 158 County Road 1212, Gary, TX 75643-4357 | 2019-12-09 |
| 1902376718 | Sanadah Marie Patterson | Occupational Therapy Assistant | 353 Tyler St, Gary, IN 46402-1149 | 2018-12-05 |
| 1720554298 | Tori Fanguy | Occupational Therapy Assistant | 158 County Road 1212, Gary, TX 75643-4357 | 2018-10-22 |
| 1285863993 | Cassandra L Whitehead | Occupational Therapy Assistant | 6100 Miller Ave, Gary, IN 46403-2469 | 2009-07-02 |
| 1538385570 | Lela Jane Riordan | Occupational Therapy Assistant | 2350 Taft St, Gary, IN 46404-3349 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776604 | Tonya Darlene Ross | Occupational Therapy Assistant | 11312 Anderson Lake Dr, Granger, IN 46530-7293 | 2020-09-23 |
| 1528679214 | Carol L Gray | Occupational Therapy Assistant | 7662 Van Buren St, Merrillville, IN 46410-5769 | 2020-08-14 |
| 1811506553 | Laura Chenoweth | Occupational Therapy Assistant | 17219 Foundation Pkwy # 100, Westfield, IN 46074-9805 | 2020-07-29 |
| 1609491414 | Kerry Herndon | Occupational Therapy Assistant | 3715 Union Chapel Rd, Fort Wayne, IN 46845-7400 | 2020-06-08 |
| 1144844416 | Monica Ashley Teller | Occupational Therapy Assistant | 8143 Hohman Ave, Munster, IN 46321-1507 | 2020-06-03 |
| 1316569379 | Sheila Denise Davis | Occupational Therapy Assistant | 2921 W 61st Pl Apt 2g, Merrillville, IN 46410-2260 | 2020-05-13 |
| 1679195705 | Ladonna Lawson | Occupational Therapy Assistant | 816 W 59th Pl Apt A, Merrillville, IN 46410-7614 | 2020-05-12 |
| 1811523244 | Rebecca Darlene Pilgrim | Occupational Therapy Assistant | 902 N Gregg Rd, Connersville, IN 47331-1169 | 2020-03-17 |
| 1871129262 | Scott Heuring | Occupational Therapy Assistant | 1543 Fischrupp Ave, Whiting, IN 46394-2030 | 2020-03-17 |
| 1164056016 | Amy Elizabeth Shreve | Occupational Therapy Assistant | 6434 E Raymond St, Indianapolis, IN 46203-5053 | 2020-03-01 |
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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.