JACLYN MARIE ANDERSON (NPI# 1295920726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295920726 |
| Entity Type | Individual |
| Full Name | JACLYN MARIE ANDERSON |
| Credential | OT |
| Practice Address |
124 W Fourth St Suttons Bay MI 49682-9733 |
| Mailing Address |
2830 S Pine Meadow Path Suttons Bay MI 49682-9740 |
| Practice Telephone | 2312711200 |
| Practice Fax Number | 2312711214 |
| Mailing Telephone | 2312182302 |
| Mailing Fax Number | 2312711214 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2013-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201005612 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TAX ID | 43-2035142 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295113 | Jaclyn Anderson | Pharmacist | 2700 Baker St Ste 3a, Muskegon Hts, MI 49444-2157 | 2017-06-26 |
| 1033485214 | Jaclyn Kate Anderson | Registered Nurse | N7770 Loyalty Rd, Blanchardville, WI 53516-9624 | 2012-04-01 |
| 1477950095 | Jaclyn Nicole Anderson | Physician Assistant | 2000 Green Rd, 300, Ann Arbor, MI 48105-1598 | 2014-11-25 |
| 1154720696 | Jaclyn Anderson | Specialist/Technologist | 1101 Camden Ave, Salisbury, MD 21801-6837 | 2014-08-21 |
| 1538451067 | Jaclyn Anderson | Dental Assistant | 11012 Canyon Rd E, Suite #8 Pmb #761, Puyallup, WA 98373-4200 | 2011-05-02 |
| 1801000385 | Jaclyn M Anderson | Pediatrics | 7370 Turfway Rd, Suite 200, Florence, KY 41042-4895 | 2007-05-10 |
| 1316974041 | Jaclyn Kay Anderson | Internal Medicine | 200 Abbott Park Rd, Dept. R4ne, Bldg. Ap34-2, Abbott Park, IL 60064-6187 | 2006-06-27 |
| Street Address |
124 W FOURTH ST |
| City | SUTTONS BAY |
| State | MI |
| Zip Code | 49682-9733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700955218 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 124 W Fourth St, Suttons Bay, MI 49682-9711 | 2006-11-07 |
| 1396261681 | Leelanau Opco, LLC | Skilled Nursing Facility | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2017-08-17 |
| 1265885099 | Justin Mazurek | Physical Therapy Assistant | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2016-07-17 |
| 1043666993 | Devon Amanda Burke | Speech-Language Pathologist | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2016-05-10 |
| 1457759896 | Fmg West Fourth Street Michigan LLC | Skilled Nursing Facility | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2014-12-17 |
| 1508267964 | Jessica Zuiderveen Colton | Speech-Language Pathologist | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2014-09-04 |
| 1851720403 | Michelle Martines | Physical Therapy Assistant | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2013-11-04 |
| 1558616144 | Geriatric Physician Staffing PC | Family Medicine | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1942756259 | Aleeah Bebermeyer | Physical Therapy Assistant | 73 W Fourth St., Sutton Bay, MI 49682 | 2016-08-28 |
| 1619346780 | Kathy Ann Bowers | Registered Nurse | 2300 N. Stallman Rd, Suttons Bay, MI 49682 | 2015-09-18 |
| 1508126517 | Grand Traverse Band of Ottawa and Chippewa Indians | Clinic/Center | 2300 N Stallman Road, Peshawbestown, MI 49682 | 2012-05-23 |
| 1063648491 | John Allen Nagel | Pharmacist | 321 N.st.joseph, Suttons Bay, MI 49682 | 2009-05-29 |
| 1205953395 | Mark Hall Hoffman | Chiropractor | 111 Madison St, Suttons Bay, MI 49682 | 2007-03-23 |
| 1104957109 | Lise C. Zahn | Physical Therapist | 73 Fourth St., Suttons Bay, MI 49682 | 2007-03-08 |
| 1457481251 | Andrea Darlene Xaver | Pharmacist | 321 N. St. Joseph St., Suttons Bay, MI 49682 | 2007-03-07 |
| 1871643858 | Steven David Hall | Dentist | 1299 Southwest Bay Shore Drive, Suttons Bay, MI 49682 | 2007-01-11 |
| 1457441362 | Donald R Mileski | Pharmacist | 321 N Saint Joseph St, Suttons Bay, MI 49682 | 2006-10-13 |
| Find all providers in zip 49682 | ||||
| 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 |
|---|---|---|---|---|
| 1780124578 | Freedom In Motion Therapy, LLC | Occupational Therapist | 93b W Fourth St, Suite 4, Suttons Bay, MI 49682-8408 | 2017-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759065 | Jennifer Willoughby Vogtmann | Occupational Therapist | 22400 Hoffman St, Saint Clair Shores, MI 48082-1721 | 2020-11-01 |
| 1740889146 | Samaah Abboud Khanafer | Occupational Therapist | 1036 N Denwood St, Dearborn, MI 48128-1569 | 2020-10-19 |
| 1912505322 | Legacy Healhcare Services, Inc. | Occupational Therapist | 42400 W 12 Mile Rd, Novi, MI 48377-3027 | 2020-10-16 |
| 1649878588 | Outside Ot L.L.C. | Occupational Therapist | 63999 Indian Trl, Ray, MI 48096-2516 | 2020-10-13 |
| 1023616216 | Elizabeth Trueblood | Occupational Therapist | 5664 Teton Trl, White Lake, MI 48383-4017 | 2020-10-12 |
| 1518564889 | Kristin Noel Hungerford | Occupational Therapist | 5103 W Pierson Rd Ste 3, Flint, MI 48504-1395 | 2020-10-08 |
| 1356948491 | Brittany N Nantais | Occupational Therapist | 48207 Lincoln Dr, Macomb, MI 48044-5013 | 2020-10-01 |
| 1578179065 | Mackenzie Gravelyn | Occupational Therapist | 10881 Marsh Ave, Allendale, MI 49401-9808 | 2020-09-20 |
| 1952913667 | Amber Lyn Hatcher | Occupational Therapist | 2682 Miller Rd, Tawas City, MI 48763-8619 | 2020-08-24 |
| 1639789092 | Matthew Horne | Occupational Therapist | 4356 Elizabeth St, Wayne, MI 48184-2154 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | SUTTONS BAY |
| Zip Code | 49682 |
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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.