MRS. JORDAN MANNING PACK


Address: 97 Hughes Rd Ste H, Madison, AL 35758-3401
Phone: 2564687384

MRS. JORDAN MANNING PACK (NPI# 1588027387) 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) 1588027387
Entity Type Individual
Full Name MRS. JORDAN MANNING PACK
Other Name JORDAN MANNING
Credential OTR/L
Practice Address 97 Hughes Rd Ste H
Madison
AL 35758-3401
Mailing Address 127 Madelyn Dr
Meridianville
AL 35759-1533
Practice Telephone 2564687384
Mailing Telephone 2564687384
Enumeration Date 2016-03-30
Last Update Date 2019-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 4169 AL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL OCCUPATIONAL THERAPIST LICENSE 4169 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
500 Saint Clair Ave Sw, Huntsville, AL 358015021 2565395111

Other Providers JORDAN PACK

NPI Name Taxonomy Address Enumeration
1154979508 Jordan Pack Behavior Technician 306 Wynn Dr Nw, Huntsville, AL 35805-1961 2019-08-29

Office Location

Street Address 97 HUGHES RD STE H
City MADISON
State AL
Zip Code 35758-3401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447448550 Pediatric Therapy Link of North Alabama, LLC Clinic/Center 97 Hughes Rd Ste H, Madison, AL 35758-3401 2007-10-15
1508358250 Hannah Winningham Mabrey Occupational Therapy Assistant 97 Hughes Rd Ste H, Madison, AL 35758-3401 2018-05-30
1306358270 Jacob Brannon Ellis Occupational Therapy Assistant 97 Hughes Rd Ste H, Madison, AL 35758-3401 2017-10-31
1447607007 Hannah Gilbert Occupational Therapist 97 Hughes Rd Ste H, Madison, AL 35758-3401 2016-05-24
1265888564 Ashley Hobbs Occupational Therapist 97 Hughes Rd Ste H, Madison, AL 35758-3401 2016-05-05
1861679060 Dawn Michelle Wallace Occupational Therapy Assistant 97 Hughes Rd Ste H, Madison, AL 35758-3401 2008-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487299277 Hanging Lanes Christian Wellness Ministries and Counseling Center Counselor 650 Sun Temple Drive, Madison, AL 35758 2019-11-15
1104487396 Caroline Thomas Estes Occupational Therapist 8475 Wann Drive, Madison, AL 35758 2019-06-27
1265902894 Sharinne Summers Sears Registered Nurse 204 Grove Village Way, Madison, AL 35758 2018-11-27
1013484666 Lori Pohly Counselor 190 Lime Quarry Road, Suite 212, Madison, AL 35758 2018-10-31
1174022297 Rhonda Marie Stalb Marriage & Family Therapist 650 Sun Temple Dr Ste 101, Madison, AL 35758 2018-02-04
1528585932 Alabama Dental Professionals, PC Dentist 7666 Highway 72 W, Madison, AL 35758 2017-08-25
1134658537 Diane Bierbauer Dietitian, Registered 520 Thoreau Spring Ct, Madison, AL 35758 2017-06-08
1255870408 Maggie Collins Nurse Practitioner 7559 U.S. 72, Madison, AL 35758 2017-02-21
1649648858 Terry A. Burgess Dentist 810 Palmer Plaza, # 103, Madison, AL 35758 2015-09-03
1063896314 Caswall C Harrigan Physician PC Family Medicine Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 2015-07-16
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639780398 Jenna Zavetz Occupational Therapist 1994 Gallatin Pike N Ste 202, Madison, TN 37115-2024 2020-08-14
1093357956 Jill Sharon Broderick Occupational Therapist 37 Kings Rd Ste 101, Madison, NJ 07940-2500 2019-10-11
1265080444 Meri Claire Soldevila Occupational Therapist 1820 August Bnd, Madison, MS 39110-6825 2019-08-30
1285287243 Nancilynn Dickey Occupational Therapist 7712 Old Canton Rd Unit B, Madison, MS 39110-9299 2019-07-18
1770060964 Sprout Pediatric Therapy, LLC Occupational Therapist 108 Serenity Way, Madison, MS 39110-6992 2018-07-20
1558855890 Taylor Crawford Lee Occupational Therapist 7712 Old Canton Rd Ste B, Madison, MS 39110-9299 2018-06-20
1275027005 Andrew Joseph Witmer Occupational Therapist 429 S Yellowstone Dr, Madison, WI 53719-1021 2018-06-15
1689176323 Magnolia Pediatric Therapy, LLC Occupational Therapist 239 Clark Farms Rd, Madison, MS 39110-8115 2018-03-07
1902308547 Samantha Danz Occupational Therapist 1033 High St Apt 126, Madison, WI 53715-1928 2018-02-28
1578063657 Noreen Annika Jeglum Occupational Therapist 501 N Whitney Way Apt 4, Madison, WI 53705-2745 2018-02-15
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Competitor

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City MADISON
Zip Code 35758

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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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