JACKIE MCCULLOUGH (NPI# 1841781606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841781606 |
| Entity Type | Individual |
| Full Name | JACKIE MCCULLOUGH |
| Credential | MOTR/L |
| Practice Address |
19135 Holdren St Brownstown MI 48173-9307 |
| Mailing Address |
28349 Joy Rd Westland MI 48185-5524 |
| Practice Telephone | 3139990873 |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2018-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19135 HOLDREN ST |
| City | BROWNSTOWN |
| State | MI |
| Zip Code | 48173-9307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1568770493 | Janis Lee Gilliam | Massage Therapist | 32121 Old Fort, Rockwood, MI 48173 | 2010-09-14 |
| 1982807913 | Lisa G Heidemann | Registered Nurse | 1450 S Lapeer, Oxford, MI 48173 | 2007-06-07 |
| 1215066279 | Craig Arlen Birch | Dentist | 21969 Huron River Drive, Rockwood, MI 48173 | 2007-03-05 |
| 1992850226 | Chad Jason Eschliman | Radiologic Technologist | 33285 Spoonbill Ave, Brownstown, MI 48173 | 2007-01-25 |
| 1871983072 | Karen Cupp | Psychologist | 21825 Woodruff Rd, Apt G3, Rockwood, MI 48173-1062 | 2015-01-27 |
| 1093016438 | Susans Total Care Drug Store LLC | Durable Medical Equipment & Medical Supplies | 22432 Huron River Dr, Rockwood, MI 48173-1100 | 2010-11-16 |
| 1407895865 | City of Rockwood | Ambulance | 32409 Fort Rd, Rockwood, MI 48173-1111 | 2006-06-04 |
| 1083934988 | Robin Elizabeth Burnstein | Pharmacist | 32905 Fort Rd, Rockwood, MI 48173-1112 | 2010-06-03 |
| 1659394211 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 32905 Fort Street, Rockwood, MI 48173-1112 | 2006-07-25 |
| Find all providers in zip 48173 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760412191 | Julie A Spuhler | Occupational Therapist | 21400 Dix Road, Brownstown, MI 48183 | 2006-07-03 |
| 1427686690 | Elizabeth Vanbuskirk | Occupational Therapist | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2020-04-01 |
| 1164688545 | Amy Shaw | Occupational Therapist | 621 S Sugar St, Brownstown, IN 47220-2066 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759065 | Jennifer Willoughby Vogtmann | Occupational Therapist | 22400 Hoffman St, Saint Clair Shores, MI 48082-1721 | 2020-11-01 |
| 1740889146 | Samaah Abboud Khanafer | Occupational Therapist | 1036 N Denwood St, Dearborn, MI 48128-1569 | 2020-10-19 |
| 1912505322 | Legacy Healhcare Services, Inc. | Occupational Therapist | 42400 W 12 Mile Rd, Novi, MI 48377-3027 | 2020-10-16 |
| 1649878588 | Outside Ot L.L.C. | Occupational Therapist | 63999 Indian Trl, Ray, MI 48096-2516 | 2020-10-13 |
| 1023616216 | Elizabeth Trueblood | Occupational Therapist | 5664 Teton Trl, White Lake, MI 48383-4017 | 2020-10-12 |
| 1518564889 | Kristin Noel Hungerford | Occupational Therapist | 5103 W Pierson Rd Ste 3, Flint, MI 48504-1395 | 2020-10-08 |
| 1356948491 | Brittany N Nantais | Occupational Therapist | 48207 Lincoln Dr, Macomb, MI 48044-5013 | 2020-10-01 |
| 1578179065 | Mackenzie Gravelyn | Occupational Therapist | 10881 Marsh Ave, Allendale, MI 49401-9808 | 2020-09-20 |
| 1952913667 | Amber Lyn Hatcher | Occupational Therapist | 2682 Miller Rd, Tawas City, MI 48763-8619 | 2020-08-24 |
| 1639789092 | Matthew Horne | Occupational Therapist | 4356 Elizabeth St, Wayne, MI 48184-2154 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSTOWN |
| Zip Code | 48173 |
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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.