MS. JACQUELINE MICHELLE SMITH


Address: 3510 E Hampton Ave, #88, Mesa, AZ 85204-6430
Phone: 2068548449

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 4186 AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ OCCUPATIONAL THERAPY ASSISTANT 224X 01

Other Providers JACQUELINE SMITH

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

Office Location

Street Address 3510 E HAMPTON AVE
#88
City MESA
State AZ
Zip Code 85204-6430

Providers in the same zip code

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 Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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City MESA
Zip Code 85204

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Dataset Information

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.

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