BENJAMIN JORDAN (NPI# 1912461369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912461369 |
| Entity Type | Individual |
| Full Name | BENJAMIN JORDAN |
| Credential | COTA |
| Practice Address |
55 W Lake Rd Pleasant Hill TN 38578-3002 |
| Practice Telephone | 9312004150 |
| Mailing Telephone | 9312004150 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 1428 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 0478 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437413119 | Benjamin Craig Jordan | Dentist | 1220 Chesterfield Hwy, Cheraw, SC 29520-7014 | 2012-06-27 |
| 1922393396 | Benjamin C Jordan | Surgery | 700 S Park St, Madison, WI 53715 | 2011-06-14 |
| 1669606992 | Benjamin Edward Jordan | Radiology | 210 25th Ave N, Suite 602, Nashville, TN 37203 | 2009-05-15 |
| 1386845535 | Benjamin Jordan | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2007-05-29 |
| 1457331845 | Benjamin William Jordan | Psychiatry & Neurology | 90 Hospital Dr, Athens, OH 45701-2301 | 2006-01-20 |
| Street Address |
55 W LAKE RD |
| City | PLEASANT HILL |
| State | TN |
| Zip Code | 38578-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023580172 | Helen Denise Reagan | Occupational Therapist | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2018-12-28 |
| 1952866253 | Gerlou Mae Mariano Alferez | Physical Therapist | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2019-01-31 |
| 1760946057 | Joshua Manis | Physical Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2019-01-30 |
| 1073077723 | Diane Bradberry | Physical Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2019-01-28 |
| 1104390996 | Coy Daniel Kidd | Physical Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2019-01-15 |
| 1972076479 | Madison Rayeann Sietsema | Physical Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2019-01-07 |
| 1417429481 | Jason Gonzalez | Occupational Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2018-12-31 |
| 1740752823 | Amanda Fuentes | Physical Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2018-12-29 |
| 1609348853 | Deonna Deanna Turner | Occupational Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2018-12-28 |
| 1326510579 | Leeann Renee' Atkinson | Physical Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2018-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871637934 | Uplands Village | Nursing Facility/Intermediate Care Facility | 878-880 West Main Street, Pleasant Hill, TN 38578 | 2007-02-20 |
| 1013281161 | Uplands Village | Assisted Living Facility | 878-880 West Main Street, Pleasant Hill, TN 38578 | 2012-03-06 |
| 1366906901 | Melissa Mary Dalton | Occupational Therapy Assistant | 86a Church Dr, Pleasant Hill, TN 38578-3000 | 2019-01-28 |
| 1457676843 | Uplands Retirement Village | Assisted Living Facility | 40 Fletcher Dr, Pleasant Hill, TN 38578-3001 | 2010-03-29 |
| 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 |
|---|---|---|---|---|
| 1366906901 | Melissa Mary Dalton | Occupational Therapy Assistant | 86a Church Dr, Pleasant Hill, TN 38578-3000 | 2019-01-28 |
| 1982141297 | Kendle R Laycock | Occupational Therapy Assistant | 25911 E 219th St, Pleasant Hill, MO 64080-8100 | 2017-01-24 |
| 1033267646 | Augustus Caesar Fatardo Sese | Occupational Therapy Assistant | 2047 Sherman Drive, Pleasant Hill, CA 94523 | 2007-01-08 |
| 1417429481 | Jason Gonzalez | Occupational Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2018-12-31 |
| 1609348853 | Deonna Deanna Turner | Occupational Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727043 | Matthew Bronson King | Occupational Therapy Assistant | 1315 Riverbend Dr Apt 109, Kingsport, TN 37664-6004 | 2020-10-13 |
| 1720685613 | Danielle N Hopkins | Occupational Therapy Assistant | 3107 Best Rd, Maryville, TN 37803-2647 | 2020-10-05 |
| 1538775507 | Kayla Renea Ruppe | Occupational Therapy Assistant | 116 Cumberland Street, Wartburg, TN 37887 | 2020-09-16 |
| 1114547569 | Jessica Michelle Trigueiro | Occupational Therapy Assistant | 2060 Durhamville Rd, Ripley, TN 38063-8434 | 2020-04-24 |
| 1326668195 | Taylor Winstead | Occupational Therapy Assistant | 1251 Wesley Dr Ste 141, Memphis, TN 38116-6443 | 2020-04-22 |
| 1558998583 | Jh Pollard | Occupational Therapy Assistant | 2036 Us Hwy Byp S, Trenton, TN 38382 | 2020-03-27 |
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1568095305 | Brianna Mckayla Bradley | Occupational Therapy Assistant | 544 Tall Trees Ln # 544, Nashville, TN 37209-5147 | 2020-02-20 |
| 1376183343 | Jessica Marie Adcock | Occupational Therapy Assistant | 2386 Fallingwater Ln Apt 304, Cordova, TN 38016-7684 | 2020-01-08 |
| 1396382610 | Jason Pack | Occupational Therapy Assistant | 9022 Richfield Ln, Knoxville, TN 37924-4579 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT HILL |
| Zip Code | 38578 |
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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.