JORDAN VICTORIA SMITH (NPI# 1992286710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992286710 |
| Entity Type | Individual |
| Full Name | JORDAN VICTORIA SMITH |
| Credential | COTA |
| Practice Address |
810 Bellaire St Jacksonville TX 75766-9045 |
| Mailing Address |
16734 County Road 192 Tyler TX 75703-7252 |
| Practice Telephone | 9035895300 |
| Mailing Telephone | 9035745498 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 215270 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1447815816 | Jordan Nichole Smith | Student in an Organized Health Care Education/Training Program | 4061 Idewild Loop # D403, Coeur D Alene, ID 83814-7091 | 2019-05-01 |
| 1447734579 | Jordan Smith | Hearing Instrument Specialist | 843 W Summit Ave, Muskegon, MI 49441-4047 | 2018-09-25 |
| 1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1407171606 | Jordan D Smith | Pharmacist | 4 Long Cove Ct, Greensboro, NC 27407-5843 | 2010-03-30 |
| 1225292139 | Jordan D Smith | Optometrist | 1205 Old Highway 127 S, Jamestown, TN 38556-5609 | 2008-07-10 |
| 1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
| Street Address |
810 BELLAIRE ST |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689993032 | Jacksonville Scc, LLC | Skilled Nursing Facility | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2010-05-25 |
| 1033772413 | Southwest Ltc - Bonner LLC | Skilled Nursing Facility | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2019-04-21 |
| 1417430042 | Christy Michelle Spell | Occupational Therapy Assistant | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2018-09-10 |
| 1699256651 | Dayna Faith Mckey | Physical Therapy Assistant | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2018-08-27 |
| 1831670017 | Virginia S Lotito | Speech-Language Pathologist | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2018-08-24 |
| 1477033231 | Matthew Goldman | Physical Therapy Assistant | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2018-08-20 |
| 1861972937 | Alaina Paige Newman | Clinical Exercise Physiologist | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2018-08-18 |
| 1093131476 | Nacogdoches County Hospital District | Skilled Nursing Facility | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2014-03-10 |
| 1588935605 | Clair Johanna Radliff | Physical Therapy Assistant | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2012-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in zip 75766 | ||||
| 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 |
|---|---|---|---|---|
| 1184249344 | Michael Scott Slinkard | Occupational Therapy Assistant | 144 Caldwell St, Jacksonville, IL 62650-1810 | 2020-06-13 |
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1649817735 | Ayesha M Harris | Occupational Therapy Assistant | 13521 Stone Pond Dr, Jacksonville, FL 32224-1626 | 2019-12-08 |
| 1790340123 | Amanda Marie Mcbride | Occupational Therapy Assistant | 11239 Stoney Point Ln W, Jacksonville, FL 32257-4560 | 2019-05-01 |
| 1104395607 | Shawana D Smith | Occupational Therapy Assistant | 2496 West 28th St, Jacksonville, FL 32209-3220 | 2018-11-14 |
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1689175655 | Bryan Taylor Sanchez | Occupational Therapy Assistant | 5870 Fm 347 N, Jacksonville, TX 75766-6687 | 2018-02-26 |
| 1720599301 | Danielle Hughes | Occupational Therapy Assistant | 2749 Sebastian Ct, Jacksonville, FL 32224-3222 | 2017-10-23 |
| 1083157325 | Gloria Jiovani Malone | Occupational Therapy Assistant | 7945 Delta Post Dr S, Jacksonville, FL 32244-6834 | 2016-11-18 |
| 1255887923 | Zenebeworke Sheffield | Occupational Therapy Assistant | 6611 Rippling Wave Ct, Jacksonville, FL 32244-6876 | 2016-08-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
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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.