JENNIFER LEE BRYAN (NPI# 1497804207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497804207 |
| Entity Type | Individual |
| Full Name | JENNIFER LEE BRYAN |
| Credential | OTL |
| Practice Address |
222 W Pine St Lodi CA 95240-2020 |
| Practice Telephone | 2093681009 |
| Practice Fax Number | 2093681024 |
| Mailing Telephone | 2093681009 |
| Mailing Fax Number | 2093681024 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT3052 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE PTAN | P00945625 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477700672 | Jennifer Lynn Bryan | Registered Nurse | 456 Ridge Rd, Webster, NY 14580-1730 | 2008-08-19 |
| 1730239401 | Jennifer Bryan | Psychologist | 206 State Street, Northampton, MA 01060 | 2007-01-12 |
| 1417976739 | Jennifer Joiner Bryan | Family Medicine | 205a Belle Meade Pt, Flowood, MS 39232-3311 | 2006-07-18 |
| 1730789926 | Jennifer P Bryan | Psychiatry & Neurology | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2020-10-28 |
| 1316581879 | Jennifer Lyn Bryan | Registered Nurse | 777 W Duval St, Lake City, FL 32055-5806 | 2019-10-28 |
| 1497162564 | Jennifer A Bryan | Physical Therapy Assistant | 302 E 24th St, Bryan, TX 77803-5303 | 2014-07-21 |
| 1760726129 | Jennifer Sharp Bryan | Occupational Therapy Assistant | 25385 Main St, Ardmore, TN 38449-3155 | 2012-11-23 |
| 1417981713 | Jennifer L Bryan | Nurse Practitioner | 310 N 9th St, Bismarck, ND 58501-4515 | 2006-07-10 |
| 1609815190 | Jennifer Ann Adams Bryan | Emergency Medicine | 13695 Us Highway 1, Sebastian, FL 32958-5403 | 2006-06-06 |
| Street Address |
222 W PINE ST |
| City | LODI |
| State | CA |
| Zip Code | 95240-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689736597 | Elizabeth Joy Hadley | Physical Therapist | 222 W Pine St, Lodi, CA 95240-2020 | 2006-12-15 |
| 1619206703 | Innovative Senior Rehabilitation Services, Inc. | Occupational Therapist | 222 W Pine St, Lodi, CA 95240-2020 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| 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 |
|---|---|---|---|---|
| 1265814594 | Rosalyn Withnell | Occupational Therapist | 9835 Franchester Rd, Lodi, OH 44254-9779 | 2015-06-23 |
| 1598047268 | Cesar Cutaran | Occupational Therapist | 2220 Sun Valley Dr, Lodi, CA 95242-4753 | 2011-09-19 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1184786089 | Innovative Senior Rehabilitation Services Inc. | Occupational Therapist | 311 W Turner Rd, Lodi, CA 95240-0517 | 2006-12-15 |
| 1598827495 | Innovative Senior Rehabilitation Services Inc. | Occupational Therapist | 2220 W Kettleman Ln, Lodi, CA 95242-4347 | 2006-12-15 |
| 1548894348 | Amanda Johnson | Occupational Therapist | 800 S Ham Ln, Lodi, CA 95242-3543 | 2020-03-02 |
| 1124663539 | Ryan Hortum | Occupational Therapist | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2019-11-08 |
| 1336615962 | Maureen Clemons | Occupational Therapist | 900 N Church St, Lodi, CA 95240-1282 | 2018-10-22 |
| 1588141352 | Teresa Le | Occupational Therapist | 800 S Ham Ln, Lodi, CA 95242-3543 | 2018-07-25 |
| 1831684638 | Tiffany Belousov | Occupational Therapist | 800 S Ham Ln, Lodi, CA 95242-3543 | 2018-06-25 |
| Find all providers in LODI | ||||
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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.