NORTHWEST O.T. ASSOCIATES, INC. (NPI# 1134310238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134310238 |
| Entity Type | Organization |
| Organization Name | NORTHWEST O.T. ASSOCIATES, INC. |
| Practice Address |
15115 Eastview Dr Upperco MD 21155-9746 |
| Practice Telephone | 4104291906 |
| Mailing Telephone | 4104291906 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | JACQUELINE WILSON (OWNER) |
| Authorized Official Telephone | 4104291906 |
| Authorized Official Credential | MS, OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
01516 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BC/ BS | J242 | 01 |
| MD | BLUE CHOICE | H888-0001 | 01 |
| Street Address |
15115 EASTVIEW DR |
| City | UPPERCO |
| State | MD |
| Zip Code | 21155-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225244692 | Jacqueline Golden Wilson | Occupational Therapist | 15115 Eastview Dr, Upperco, MD 21155-9746 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841663457 | Safe Harbor Christian Counseling | Psychologist | 14450 Hanover Pike, Reisterstown, MD 21155 | 2015-11-04 |
| 1659886166 | Aba Solutions, LLC | Behavioral Analyst | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2017-12-06 |
| 1841807807 | Jalynn Danielle Haver | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2020-09-24 |
| 1366077489 | Arthur William Plummer | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2020-03-09 |
| 1215574173 | Katrice Sade Crowner | Behavioral Analyst | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2019-12-10 |
| 1093360117 | Natalie Laine Stiles | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2019-08-06 |
| 1093368094 | Jasmine Hall | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2019-07-18 |
| 1346726684 | Nicole Branham | Behavior Technician | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2018-07-18 |
| 1548751472 | Amanda R Tincknell | Behavioral Analyst | 23 Thomas Shilling Ct, Upperco, MD 21155-9334 | 2018-05-26 |
| 1174081343 | Winston Frederick Harden | Specialist/Technologist | 16301 Dark Hollow Rd, Upperco, MD 21155-9358 | 2019-03-06 |
| Find all providers in zip 21155 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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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.