MS. JACQUELINE MICHELLE SMITH (NPI# 1578906368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578906368 |
Entity Type | Individual |
Full Name | MS. JACQUELINE MICHELLE SMITH |
Credential | OTA/L |
Practice Address |
3510 E Hampton Ave #88 Mesa AZ 85204-6430 |
Practice Telephone | 2068548449 |
Mailing Telephone | 2068548449 |
Enumeration Date | 2013-04-10 |
Last Update Date | 2016-08-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 4186 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | OCCUPATIONAL THERAPY ASSISTANT | 224X | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811503543 | Jacqueline Maree Smith | Counselor | 8877 Frankway Dr Apt 4442, Houston, TX 77096-1909 | 2020-09-18 |
1336761816 | Jacqueline Smith | Behavior Technician | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-07 |
1659925337 | Jacqueline Gajewski Smith | Nurse Practitioner | 130 Se Crestwood Cir, Stuart, FL 34997-7438 | 2019-07-30 |
1639737810 | Jacqueline Brooks Smith | Registered Nurse | 3570 Cherry Run Rd, Rimersburg, PA 16248-5628 | 2019-06-03 |
1366907941 | Jacqueline Lynette Smith | Student in an Organized Health Care Education/Training Program | 9258 Culebra Rd Ste 140, San Antonio, TX 78251-2877 | 2019-02-07 |
1902256373 | Jacqueline Smith | Speech-Language Pathologist | 1110 Chestnut St, Fremont, OH 43420-4312 | 2016-06-16 |
1225405293 | Jacqueline Deana Smith | Registered Nurse | 3187 E Hudson St, Columbus, OH 43219-1632 | 2015-08-26 |
1174999395 | Jacqueline A Smith | Home Health | 3730 Fm 1960 Rd W Ste 210, Houston, TX 77068-3508 | 2015-08-12 |
1255710851 | Jacqueline Smith | Counselor | 40 Dimock Services, Roxbury, MA 02119-0000 | 2015-05-28 |
1013353432 | Jacqueline Marie Smith | Recreation Therapist | 2616 Erwin Ave, Dupont, WA 98327-8758 | 2013-05-13 |
Street Address |
3510 E HAMPTON AVE #88 |
City | MESA |
State | AZ |
Zip Code | 85204-6430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
Find all providers in zip 85204 |
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 |
---|---|---|---|---|
1427660091 | Rebecca Grace Montoya-wolfskill | Occupational Therapy Assistant | 1312 E Granada St, Mesa, AZ 85203-4432 | 2020-08-17 |
1740899616 | Shanna Jane Betzing | Occupational Therapy Assistant | 549 N Stapley Dr, Mesa, AZ 85203-7203 | 2020-07-27 |
1922622836 | Rachelle Jensen | Occupational Therapy Assistant | 5210 E Hampton Ave Apt 3224, Mesa, AZ 85206-3478 | 2020-06-05 |
1649806704 | Tara Shields | Occupational Therapy Assistant | 1425 S Lindsay Rd Unit 36, Mesa, AZ 85204-6233 | 2020-03-19 |
1518511567 | Jenni Merrill | Occupational Therapy Assistant | 648 N Orange, Mesa, AZ 85201-4808 | 2019-07-29 |
1598288763 | Rodeleine M. Salvatus Bustamante | Occupational Therapy Assistant | 1555 S Gilbert Rd, Mesa, AZ 85204-6000 | 2017-07-19 |
1437684768 | Angela Nord | Occupational Therapy Assistant | 1865 N Higley Rd, Apt 2062, Mesa, AZ 85205-3324 | 2017-04-24 |
1538619028 | Steven Adams | Occupational Therapy Assistant | 9952 E Dolphin Cir, Mesa, AZ 85208-2589 | 2016-10-07 |
1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
1982066841 | Brook Eddy | Occupational Therapy Assistant | 2548 N 32nd St, Mesa, AZ 85213-1803 | 2016-03-22 |
Find all providers in MESA |
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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.