MRS. JACLYN RENEE MASON (NPI# 1356998769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356998769 |
| Entity Type | Individual |
| Full Name | MRS. JACLYN RENEE MASON |
| Credential | COTAL |
| Practice Address |
609 Lake Vista Dr Jefferson GA 30549-4606 |
| Practice Telephone | 5408558525 |
| Mailing Telephone | 5408558525 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA002507 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | 0131000570 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760731 | Jaclyn Mason | Nurse Practitioner | 18431 Hawthorne Rd, Fort Myers, FL 33967-3276 | 2019-09-24 |
| Street Address |
609 LAKE VISTA DR |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| 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 |
|---|---|---|---|---|
| 1487170700 | Larissa Mitchell | Occupational Therapy Assistant | 145 Harding St, Jefferson, LA 70121-3915 | 2017-08-17 |
| 1487028890 | Heather Danielle Gonska | Occupational Therapy Assistant | 1204 Sherwood Ln, Jefferson, WI 53549-1969 | 2015-11-23 |
| 1952314783 | Kelly Horton | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2006-08-14 |
| 1700259561 | Kari Thoma | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2015-11-02 |
| 1871839209 | Kimberly Nicole Wittmann | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2012-12-12 |
| 1346485646 | Gayle Renz | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2008-12-16 |
| 1033322847 | Jane Evenson | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403282 | Kaitlyn Breese Swain | Occupational Therapy Assistant | 3713 Tarva Rd, Albany, GA 31721-8687 | 2020-09-29 |
| 1306451414 | Yvonne G Forbes | Occupational Therapy Assistant | 3412 Conley Downs Dr, Powder Springs, GA 30127-1199 | 2020-09-15 |
| 1396356614 | Chukwuma Jordan Okafor | Occupational Therapy Assistant | 3201 Windcliff Dr Se, Marietta, GA 30067-3814 | 2020-08-11 |
| 1861018913 | Lavina Michelle Andrews | Occupational Therapy Assistant | 288 Osceola Trl N, Jesup, GA 31545-4853 | 2020-06-24 |
| 1386285153 | Rww Outpatient Rehab Services, LLC | Occupational Therapy Assistant | 1860 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5065 | 2019-10-03 |
| 1326692658 | Jacqueline Renee Rhem | Occupational Therapy Assistant | 1012 Enota Ave Ne, Gainesville, GA 30501-1802 | 2019-07-25 |
| 1437719713 | Tommy Tanner | Occupational Therapy Assistant | 3018 Spicewood Dr, Augusta, GA 30909-6489 | 2019-06-18 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1508424458 | Misty Myrick Copeland | Occupational Therapy Assistant | 318 Keen Rd, Summerville, GA 30747-6379 | 2019-06-04 |
| 1538726633 | Daphyne Marie Ewings | Occupational Therapy Assistant | 4605 Gillionville Rd, Albany, GA 31721-9565 | 2019-05-23 |
| 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.