MRS. JESSIE LEE GREEN (NPI# 1134479702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134479702 |
| Entity Type | Individual |
| Full Name | MRS. JESSIE LEE GREEN |
| Credential | OTR/L |
| Practice Address |
20 Fox Trot Dr Conway AR 72032-8505 |
| Practice Telephone | 4795183718 |
| Mailing Telephone | 4795183718 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR2451 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427691641 | Jessie Lynne Green | Nurse Practitioner | 125 Wellness Way, Hot Springs, AR 71913-6478 | 2019-10-21 |
| 1225214398 | Jessie Green | Counselor | 1213 Maria Ln, Iuka, MS 38852-1135 | 2008-01-18 |
| 1225232424 | Jessie Holbrook Green | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2007-06-12 |
| Street Address |
20 FOX TROT DR |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1699385856 | Judy Lynn Lloyd | Occupational Therapist | 4801 Pee Dee Hwy, Conway, SC 29527-7357 | 2020-08-03 |
| 1780200782 | Arkansas Physical Therapy Services of Conway, LLC | Occupational Therapist | 4550 Prince St, Conway, AR 72034-8077 | 2020-06-25 |
| 1932646890 | Erica Kennemer | Occupational Therapist | 1008 E Oak St Ste 108, Conway, AR 72032-4772 | 2017-01-30 |
| 1609227438 | Ellen Berger Rainville | Occupational Therapist | 236 S Shirkshire Rd, Conway, MA 01341-9703 | 2016-06-22 |
| 1164880803 | Meredith Lauren Wallis | Occupational Therapist | 1320 Davis St, Conway, AR 72034-3919 | 2016-02-09 |
| 1417355538 | Trisha Palmer | Occupational Therapist | 18 Fair Oaks Dr, Conway, AR 72034-2923 | 2014-12-06 |
| 1831517614 | Desiree Bessette | Occupational Therapist | 310 Kiskadee Loop Unit B, Conway, SC 29526-9762 | 2014-03-31 |
| 1184973281 | Jenny Beth Lesley | Occupational Therapist | 1100 Champions Dr., Conway, AR 72034 | 2012-09-05 |
| 1144598384 | Meghan Bretz | Occupational Therapist | 2465 Crestwood Ct, Conway, AR 72032-2585 | 2011-12-02 |
| Find all providers in CONWAY | ||||
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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.