MRS. JENNIFER L JOHN (NPI# 1164805032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164805032 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER L JOHN |
| Other Name | JENNIFER L GOODLUCK |
| Credential | COTA/L |
| Practice Address |
2626 Glenwood Ave Raleigh NC 27608-1043 |
| Mailing Address |
418 Regulators Way Hillsborough NC 27278-2085 |
| Practice Telephone | 8777819565 |
| Mailing Telephone | 9192450316 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 7120 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639568843 | Jennifer John | Dentist | 2100 Old Farm Dr Ste 1-f, Frederick, MD 21702 | 2015-01-12 |
| 1366616237 | Jennifer Ann John | Occupational Therapist | 18115 N Us Highway 41 Ste 800, Lutz, FL 33549-6475 | 2008-04-22 |
| 1942761978 | Jennifer John | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2019-03-31 |
| 1982109070 | Jennifer Leanne John | Nurse Practitioner | 1600 E C St, Butner, NC 27509-2530 | 2018-03-29 |
| 1114375409 | Jennifer John | Family Medicine | 180 Sw 84th Ave Ste B, Plantation, FL 33324 | 2016-05-27 |
| 1891102125 | Jennifer John | Social Worker | 702 Sunset Dr, Ontario, OR 97914-3121 | 2014-07-18 |
| 1174863716 | Jennifer L. John | Marriage & Family Therapist | 6949 Valley Creek Rd Ste 220, Woodbury, MN 55125 | 2013-02-19 |
| 1760748545 | Jennifer Anne John | Speech-Language Pathologist | 3607 Manchaca Rd, Austin, TX 78704-5947 | 2012-04-06 |
| 1861685562 | Jennifer Moreau John | Occupational Therapist | 555 E Cheves St, Florence, SC 29506-2617 | 2007-08-25 |
| 1447343140 | Jennifer M John | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2006-10-02 |
| Street Address |
2626 GLENWOOD AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27608-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346473931 | Julie Mayberry | Occupational Therapist | 2626 Glenwood Ave, Raleigh, NC 27608-1043 | 2009-08-28 |
| 1396300554 | Brandon Thomas Searle | Physician Assistant | 2626 Glenwood Ave, Raleigh, NC 27608-1043 | 2019-05-03 |
| 1598201246 | Sheri Fisher | Occupational Therapy Assistant | 2626 Glenwood Ave, 160, Raleigh, NC 27608-1043 | 2017-01-18 |
| 1083067359 | Malcolm Thompson | Physical Therapy Assistant | 2626 Glenwood Ave, Suite 160, Raleigh, NC 27608-1043 | 2016-07-21 |
| 1609240522 | Mary Reid Larcade | Counselor | 2626 Glenwood Ave, Suite 140, Raleigh, NC 27608-1043 | 2015-11-16 |
| 1740692045 | Anne Fisher | Physical Therapy Assistant | 2626 Glenwood Ave, Raleigh, NC 27608-1043 | 2014-05-21 |
| 1841617628 | Jeff Glasgow | Physical Therapy Assistant | 2626 Glenwood Ave, Suite 160, Raleigh, NC 27608-1043 | 2014-03-18 |
| 1427488873 | Neil Gerke | Occupational Therapist | 2626 Glenwood Ave, Suite 160, Raleigh, NC 27608-1043 | 2013-11-21 |
| 1962836205 | Marcus Brown | Occupational Therapist | 2626 Glenwood Ave, Suite 160, Raleigh, NC 27608-1043 | 2013-08-22 |
| 1306278775 | George Cutter | Physical Therapy Assistant | 2626 Glenwood Ave, Ste 160, Raleigh, NC 27608-1043 | 2013-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856175 | Abbe Colodny Pllc | Community/Behavioral Health | 330 Pershing Road, Ralegih, NC 27608 | 2017-08-11 |
| 1417303975 | Restoration Family Counseling | Social Worker | 3103 Eton Rd, Raleigh, NC 27608 | 2016-05-13 |
| 1194192864 | Kathryn Bailey Jeutter | Specialist/Technologist | 1550 Iredell Dr, Raleigh, NC 27608 | 2015-08-28 |
| 1285950345 | Kathryn Dukes Miller | Social Worker | 2306 Mcmullan Circle, Raleigh, NC 27608 | 2010-04-14 |
| 1093043341 | Kristen Bryda Beach | Dietitian, Registered | 608 Scales Towne Court, Raleigh, NC 27608 | 2009-11-25 |
| 1811144942 | Rachael Hollister Wooten | Psychologist | 2721 Kittrell Dr., Raleigh, NC 27608 | 2008-08-20 |
| 1861641862 | Michele Carpenter Bulk | Physical Therapist | 513 E Whitaker Mill Rd, Raleigh, NC 27608 | 2008-09-15 |
| 1770872673 | Wendy Jill Phillips | Physical Therapist | 2626 Glennwood Ave, Suite 160, Raleigh, NC 27608-0000 | 2011-03-31 |
| 1427147875 | Brian J Kelleher Dds Pa | Clinic/Center | 2609 Glenwood Ave, Raleigh, NC 27608-1003 | 2006-10-12 |
| 1942795455 | Seth C Rumley Dds Pa II | Dentist | 2609 Glenwood Ave, Raleigh, NC 27608-1003 | 2018-06-27 |
| Find all providers in zip 27608 | ||||
| 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 |
|---|---|---|---|---|
| 1265052328 | Vipavee Bartorillo | Occupational Therapy Assistant | 5309 Patuxent Dr, Raleigh, NC 27616-6568 | 2020-04-19 |
| 1497218671 | Michelle Loraine Hixson | Occupational Therapy Assistant | 2722 Spring Forest Rd, Raleigh, NC 27616-1977 | 2019-04-13 |
| 1679042139 | Health & Home Services, Inc. | Occupational Therapy Assistant | 4020 Wake Forest Road, Suite 111, Raleigh, NC 27609-6866 | 2018-11-14 |
| 1508285248 | Lauren Clayton | Occupational Therapy Assistant | 7631 Horizon Line Dr, Apt 1922, Raleigh, NC 27617-8664 | 2014-04-09 |
| 1992142038 | Barbara Leigh Williams | Occupational Therapy Assistant | 1821 Eva Mae Dr, Raleigh, NC 27610-4450 | 2013-05-30 |
| 1992031561 | Richard Dwight Graham | Occupational Therapy Assistant | 3270 Lynn Ridge Dr Apt 2e, Raleigh, NC 27613-8921 | 2009-11-02 |
| 1639351448 | Jill Page Clark | Occupational Therapy Assistant | 1500 Woodline Drive, Raleigh, NC 27603-5760 | 2007-12-04 |
| 1023198264 | Star Rehabilitation Service, Inc | Occupational Therapy Assistant | 10309 Tanners Mill Pl, Raleigh, NC 27614-7719 | 2006-10-16 |
| 1558975540 | Emily D Clendenin | Occupational Therapy Assistant | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2020-09-07 |
| 1194338053 | Alexiz Piper | Occupational Therapy Assistant | 1500 Sawmill Rd, Raleigh, NC 27615-4320 | 2020-08-28 |
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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.