MS. JACQUELINE A JIM (NPI# 1417186123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417186123 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE A JIM |
| Credential | OT/L |
| Practice Address |
3205 Green Mdw Baldwinsville NY 13027 |
| Mailing Address |
3205 Green Mdw Baldwinsville NY 13027-8929 |
| Practice Telephone | 3158574481 |
| Mailing Telephone | 3158574481 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 008281-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3205 GREEN MDW |
| City | BALDWINSVILLE |
| State | NY |
| Zip Code | 13027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493236 | Leslie Marie Lamirande | Registered Nurse | Van Buren Elementary School, 14 Ford Street, Baldwinsville, NY 13027 | 2020-09-29 |
| 1205339322 | Julia J Donato | Marriage & Family Therapist | 3070 Ny-31, Baldwinsville, NY 13027 | 2018-03-15 |
| 1760921506 | Michelle Benjamin | Specialist | 8282 Willett Parkway, Baldwinsville, NY 13027 | 2017-02-13 |
| 1922556349 | Scott Kirchner | Specialist/Technologist | 8887 Kilkenny Drive, Baldwinsville, NY 13027 | 2016-09-14 |
| 1144686338 | Cassandra Sage Bluff | Registered Nurse | 29 East Oneida St, Elden Elementary Health Office, Baldwinsville, NY 13027 | 2016-01-05 |
| 1245616523 | Baldwinsville Family Dental | Dentist | 5 Lock Street, Baldwinsville, NY 13027 | 2015-08-10 |
| 1891178729 | Podiatry Services of Central New York, PC | Podiatrist | 15 East Genesee Street, Suite 260, Baldwinsville, NY 13027 | 2015-07-09 |
| 1114316783 | Paolo Gregory Cesari | Counselor | 12 Oswego St, Baldwinsville, NY 13027 | 2015-01-20 |
| 1962839597 | Joanna Jann | Local Education Agency (LEA) | 3141 Timberlea Ln., Baldwinsville, NY 13027 | 2013-09-27 |
| 1386080075 | Suzanne Elizabeth Trombley | Specialist | 132 Coachmans Whip, Baldwinsville, NY 13027 | 2013-05-21 |
| Find all providers in zip 13027 | ||||
| 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 |
|---|---|---|---|---|
| 1750535142 | Deborah Anne Palczynski-savacool | Occupational Therapist | 70 Edgewood Dr, Baldwinsville, NY 13027-1233 | 2008-11-11 |
| 1700886918 | Lucrecia C Agcaoili-white | Occupational Therapist | 1005 Village Blvd S, Baldwinsville, NY 13027-3369 | 2005-07-29 |
| 1629682646 | Frontier Occupational Therapy PC | Occupational Therapist | 1005 Village Blvd S, Baldwinsville, NY 13027-3369 | 2020-09-08 |
| 1295360881 | Joan Sharon Ellsworth | Occupational Therapist | 7740 Meigs Rd, Baldwinsville, NY 13027-9757 | 2020-03-04 |
| 1326681206 | Katharine Anne Genovese | Occupational Therapist | 8395 Oswego Rd, Baldwinsville, NY 13027-6801 | 2019-10-23 |
| 1922665181 | Caroline Dougherty | Occupational Therapist | 8395 Oswego Rd, Baldwinsville, NY 13027-6801 | 2019-05-23 |
| 1598212649 | Amy Johnstone | Occupational Therapist | 7740 Meigs Rd, Baldwinsville, NY 13027-9757 | 2016-09-07 |
| 1205288206 | Samantha Joann Bruno | Occupational Therapist | 7740 Meigs Rd, Baldwinsville, NY 13027-9757 | 2016-07-01 |
| 1003257866 | Kassidy Joy Kraus | Occupational Therapist | 8282 Willett Pkwy, Baldwinsville, NY 13027-1306 | 2013-07-09 |
| 1730442476 | Melissa S Austin | Occupational Therapist | 7740 Meigs Rd, Baldwinsville, NY 13027-9757 | 2012-06-18 |
| Find all providers in BALDWINSVILLE | ||||
| City | BALDWINSVILLE |
| Zip Code | 13027 |
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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.