MRS. JESSICA ANNE BLACK (NPI# 1336102607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336102607 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ANNE BLACK |
| Other Name | JESSICA GIAMMALVO |
| Practice Address |
9302 N Meridian St Ste 190 Indianapolis IN 46260-1818 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 3178431270 |
| Practice Fax Number | 3178434174 |
| Mailing Telephone | 6302962223 |
| Mailing Fax Number | 6307599510 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31005917A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 5296 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
5296 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | 555850076 | 01 |
| RAILROAD MEDICARE | P00263219 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311120 | Jessica Ellen Black | Nutritionist | 1239 Liberty St Apt 225, El Cerrito, CA 94530-2347 | 2020-09-22 |
| 1417580234 | Jessica Black | Technician | 640 May St, Harlan, KY 40831-1628 | 2020-02-20 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
| 1851894547 | Jessica J Black | Psychologist | 225 Humphrey Rd Ste 4, Greensburg, PA 15601-4571 | 2018-03-09 |
| 1619482569 | Jessica Ann Black | Massage Therapist | 3161 E Palmer Wasilla Hwy Ste 1, Wasilla, AK 99654-7271 | 2017-12-13 |
| 1104187764 | Jessica Lauren Black | Dental Hygienist | 1413 Gold Buckle Ct, Redlands, CA 92374-2790 | 2012-05-30 |
| 1366676439 | Jessica Donze Black | Dietitian, Registered | 230 N Granada St, Arlington, VA 22203-1322 | 2009-05-05 |
| 1134305337 | Jessica K Black | Naturopath | 330 Se Baker St, Unit 3, Mcminnville, OR 97128-6038 | 2008-01-17 |
| 1902403488 | Jessica Laurel Black | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Cleveland, OH 44118-4897 | 2020-10-07 |
| 1619529500 | Jessica Dawn Black | Counselor | 1576 S 500 W, Suite 102, Bountiful, UT 84010 | 2019-07-11 |
| Street Address |
9302 N MERIDIAN ST STE 190 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700199734 | Bradley Wayne Austin | Physical Therapist | 9302 N Meridian St Ste 190, Indianapolis, IN 46260-1818 | 2010-07-20 |
| 1750522728 | Katrina Malhotra | Physical Therapist | 9302 N Meridian St Ste 190, Indianapolis, IN 46260-1818 | 2009-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 |
|---|---|---|---|---|
| 1548875701 | Megan Copeland | Occupational Therapist | 8622 Central Ave, Indianapolis, IN 46240-1507 | 2020-09-14 |
| 1083227169 | Aegis Group Practice LLC | Occupational Therapist | 3060 Valley Farms Rd, Indianapolis, IN 46214-4501 | 2020-08-28 |
| 1619585346 | Emily Woods | Occupational Therapist | 8650 Commerce Park Pl # A-1, Indianapolis, IN 46268-3174 | 2020-07-20 |
| 1033734942 | Colleen L Colvin | Occupational Therapist | 9105 E 56th St Ste 1, Indianapolis, IN 46216-2229 | 2020-06-16 |
| 1376177535 | Jill M Cain | Occupational Therapist | 4642 Crosby Buck Dr, Indianapolis, IN 46237-8758 | 2020-02-26 |
| 1891345096 | Micah Brown | Occupational Therapist | 4134 Claire Dr Apt 104, Indianapolis, IN 46240-1595 | 2019-09-19 |
| 1144887399 | Catherine Martin Taylor | Occupational Therapist | 5842 N Dearborn St, Indianapolis, IN 46220-5408 | 2019-05-23 |
| 1659936201 | Accelerated Rehabilitation Centers Ltd | Occupational Therapist | 2902 W 86th St Ste 60, Indianapolis, IN 46268-4188 | 2019-05-08 |
| 1316429764 | Rachel Rutledge | Occupational Therapist | 10335 Corydon Ct, Indianapolis, IN 46239 | 2018-09-02 |
| 1598244162 | Brigitte Umlauf | Occupational Therapist | 1822 Brewster Rd, Indianapolis, IN 46260-1561 | 2018-08-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.