MRS. JACQUELINE MARIE OVERPECK (NPI# 1629291877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629291877 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MARIE OVERPECK |
| Credential | PT, DPT |
| Practice Address |
2420 Wilson Ave Madison IN 47250-2135 |
| Mailing Address |
1928 Fairway Dr Madison IN 47250-2703 |
| Practice Telephone | 8122658226 |
| Practice Fax Number | 8122658227 |
| Mailing Telephone | 8122744040 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 05008585A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
05008585A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200857980 | 05 | |
| KY | 7100168390 | 05 |
| Street Address |
2420 WILSON AVE |
| City | MADISON |
| State | IN |
| Zip Code | 47250-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649989 | Megan Ellen Kraft | Occupational Therapist | 2420 Wilson Ave, Madison, IN 47250-2135 | 2020-11-02 |
| 1366004194 | Benjamin John Faulstick | Developmental Therapist | 2420 Wilson Ave, Madison, IN 47250-2135 | 2019-07-02 |
| 1255899720 | Sarah Horn | Developmental Therapist | 2420 Wilson Ave, Madison, IN 47250-2135 | 2019-03-04 |
| 1831667450 | Monique Bruce | Occupational Therapy Assistant | 2420 Wilson Ave, Madison, IN 47250-2135 | 2018-11-13 |
| 1942778931 | Marissa Horvath | Developmental Therapist | 2420 Wilson Ave, Madison, IN 47250-2135 | 2018-11-07 |
| 1396229233 | Lisa Marie Sieverding | Speech-Language Pathologist | 2420 Wilson Ave, Madison, IN 47250-2135 | 2018-09-17 |
| 1992299739 | All Kids Can Therapy Services LLC | Behavioral Analyst | 2420 Wilson Ave, Madison, IN 47250-2135 | 2018-06-15 |
| 1902398134 | Shelby Dorsey | Occupational Therapist | 2420 Wilson Ave, Madison, IN 47250-2135 | 2018-06-04 |
| 1023524402 | Rebecca Diane Simpson-pinkston | Occupational Therapist | 2420 Wilson Ave, Madison, IN 47250-2135 | 2017-12-20 |
| 1386170579 | Anna Bridget Little | Speech-Language Pathologist | 2420 Wilson Ave, Madison, IN 47250 | 2017-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1679681316 | Carole Lynn Feller | Physical Therapist | 4525 Stein Ave, Madison, WI 53714-1731 | 2006-08-25 |
| 1639642101 | Alicia Marie Harrington | Physical Therapist | 2801 Coho St Ste 100, Madison, WI 53713-4576 | 2019-01-08 |
| 1861806374 | Julie Ann Mandli | Physical Therapist | 600 Highland Ave, Mail Stop 2424, Madison, WI 53792-2424 | 2014-06-12 |
| 1922432236 | Katie Borland | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2013-08-23 |
| 1073676185 | Center for Pediatric Therapy - Madison, LLC | Physical Therapist | 71 Bradley Rd, Madison, CT 06443-2662 | 2006-12-19 |
| 1245318286 | James A Miedaner | Physical Therapist | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2006-11-01 |
| 1972696870 | Marian Higby Fredal | Physical Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-10-02 |
| 1740380708 | Brenda Sue Schmidt | Physical Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-09-22 |
| 1386742161 | Munchung Chang | Physical Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-09-20 |
| Find all providers in MADISON | ||||
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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.