JESSICA ELIZABETH LONGENETTE (NPI# 1518479617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518479617 |
| Entity Type | Individual |
| Full Name | JESSICA ELIZABETH LONGENETTE |
| Credential | COTA/L |
| Practice Address |
1000 Lincoln Dr South Charleston WV 25309-2304 |
| Mailing Address |
412 Fletcher Rd Apt 6 Scott Depot WV 25560-7298 |
| Practice Telephone | 3047661722 |
| Practice Fax Number | 3047668991 |
| Mailing Telephone | 3049405320 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | C2178 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1000 LINCOLN DR |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225074081 | Glenmark Limited Liability Company I | Skilled Nursing Facility | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2006-06-21 |
| 1295382455 | Natalie Saber | Speech-Language Pathologist | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2019-08-22 |
| 1548747538 | Jaclyn Rachelle Perry | Speech-Language Pathologist | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2018-07-23 |
| 1730666066 | Jeffrey Benjamin Gibbs | Physical Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2018-07-19 |
| 1902392046 | Ashley Stone | Physical Therapist | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2018-07-02 |
| 1831682855 | Rache Bonner | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2018-06-13 |
| 1508362211 | Tiffany N Hatfield | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2018-04-02 |
| 1992216824 | Michael Scott Sperry | Physical Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2017-10-18 |
| 1720503535 | Christopher Shafer | Physical Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2017-08-14 |
| 1740729631 | Taylor Jordan Shoemaker | Physical Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2017-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| 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 |
|---|---|---|---|---|
| 1356518476 | Jessica Leanne Drayer | Occupational Therapy Assistant | 6276 London Plattsburg Rd, South Charleston, OH 45368-8801 | 2008-05-08 |
| 1669598371 | Cassandra Renee Slate I | Occupational Therapy Assistant | 1000 Lincoln Drive, South Charleston, WV 25309 | 2007-03-22 |
| 1831682855 | Rache Bonner | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2018-06-13 |
| 1508362211 | Tiffany N Hatfield | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2018-04-02 |
| 1497291371 | Lauren Hudnall | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2017-01-16 |
| 1720523285 | Amy Jo Kessler | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2016-12-19 |
| 1841684180 | Amanda Jones | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2015-03-25 |
| 1548666167 | Jillian Murphy | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2014-11-10 |
| 1154741718 | Susan Rae Boyd | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2014-04-22 |
| 1306261219 | Deborah Kay Stewart | Occupational Therapy Assistant | 1000 Lincoln Dr, South Charleston, WV 25309-2304 | 2014-02-28 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.