JENNIFER EDMONDSON (NPI# 1023277159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023277159 |
| Entity Type | Individual |
| Full Name | JENNIFER EDMONDSON |
| Other Name | JENNIFER BOYDEN |
| Credential | COTA/L |
| Practice Address |
1341 Paradise Rd Edenton NC 27932-8503 |
| Mailing Address |
22355 Us Highway 64 Williamston NC 27892-9708 |
| Practice Telephone | 2524822538 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699185124 | Jennifer Edmondson | Counselor | 721 Zeiss Ave, Saint Louis, MO 63125-1421 | 2014-05-06 |
| 1033404876 | Jennifer Erin Edmondson | Counselor | 1601 S State St Ste 100, Edmond, OK 73013-3507 | 2011-06-09 |
| Street Address |
1341 PARADISE RD |
| City | EDENTON |
| State | NC |
| Zip Code | 27932-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083659692 | Tar River Ltc Group, LLC | Clinic/Center | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2006-06-18 |
| 1467074526 | Allison A Davis | Speech-Language Pathologist | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2020-05-12 |
| 1154801686 | Clayton Roark | Occupational Therapist | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2018-08-15 |
| 1881129898 | Rachel Thomas | Speech-Language Pathologist | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2017-04-27 |
| 1962660415 | Susan Jones | Physical Therapy Assistant | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2008-05-30 |
| 1033377585 | Anthony Vidal | Physical Therapist | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2008-05-30 |
| 1356509079 | Kristina Worrell | Occupational Therapist | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2008-05-29 |
| 1013175736 | Jessica Spruill | Physical Therapy Assistant | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2008-05-29 |
| 1356509020 | Teresa Wooten | Occupational Therapist | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2008-05-29 |
| 1053579722 | Donnie Wooten | Occupational Therapy Assistant | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598002172 | Ashley Nicole Brooke Miller | Counselor | 1255 Haughton Road, Edenton, NC 27932 | 2013-01-15 |
| 1629365341 | Columbia Chiropractic Center PC | Chiropractor | 187 La Keiser Dr, Columbia, NC 27932 | 2011-07-01 |
| 1760682579 | Edenton House, LLC | Assisted Living Facility | 323 Medical Arts Drive, Edenton, NC 27932 | 2007-07-19 |
| 1801913975 | Coastal Rehabilitation Inc | Physical Therapist | 701 Luke Street, Edenton, NC 27932 | 2007-03-23 |
| 1225164734 | Paul Stephen Richmond | Dentist | 410 N Broad Street, Edenton, NC 27932 | 2007-02-26 |
| 1003960816 | Albemarle Mental Health Center | Social Worker | 202 W Hicks Street, Edenton, NC 27932 | 2007-01-22 |
| 1679642532 | Womens Health of Edenton PC | Obstetrics & Gynecology | 309 N Broad Street, Edenton, NC 27932 | 2006-11-07 |
| 1184713505 | Jerry L Bradley | Dentist | 512 Coke Avenue, Edenton, NC 27932 | 2006-10-12 |
| 1457454126 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1316 H N Broad St, Edenton, NC 27932 | 2006-09-07 |
| 1972613321 | Joel Crist Reynolds | Urology | 210 N Broad St, Edenton Urology Clinic, Edenton, NC 27932 | 2006-08-30 |
| Find all providers in zip 27932 | ||||
| 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 |
|---|---|---|---|---|
| 1053579722 | Donnie Wooten | Occupational Therapy Assistant | 1341 Paradise Rd, Edenton, NC 27932-8503 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1326652611 | Chelsea Stone | Occupational Therapy Assistant | 2036 Quill Ct, Kannapolis, NC 28083-6298 | 2020-09-03 |
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1386266583 | Corie Roberson | Occupational Therapy Assistant | 955 Spring Forest Rd Apt 2, Greenville, NC 27834-4976 | 2020-05-11 |
| 1265052328 | Vipavee Bartorillo | Occupational Therapy Assistant | 5309 Patuxent Dr, Raleigh, NC 27616-6568 | 2020-04-19 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1912539768 | Crystal Mikhail Yvonnie Harris | Occupational Therapy Assistant | 851 S Beckford Dr Ste Beckford, Henderson, NC 27536-5910 | 2020-02-10 |
| 1073143343 | Eastern Therapy Solutions, Pllc | Occupational Therapy Assistant | 3132 Chesswood Ln, Winterville, NC 28590-7992 | 2020-01-24 |
| 1710517578 | Leslie H Hutcherson | Occupational Therapy Assistant | 2560 Willard Rd # 5740, Winston Salem, NC 27107-5543 | 2020-01-21 |
| 1841820826 | Hannah Broome Abbott | Occupational Therapy Assistant | 2092 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4038 | 2020-01-18 |
| Find all providers with the same taxonomy | ||||
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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.