JONATHAN ETHAN WHITE (NPI# 1225374366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225374366 |
| Entity Type | Individual |
| Full Name | JONATHAN ETHAN WHITE |
| Credential | COTA |
| Practice Address |
751 E 163rd Pl South Holland IL 60473-2306 |
| Mailing Address |
751 East 163rd Place South Holland IL 60473 |
| Practice Telephone | 7084390654 |
| Mailing Telephone | 7084390654 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057003706 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558677849 | Jonathan R White | Pharmacist | 4400 Ne Halsey St Bldg 1, 4th Floor, Portland, OR 97213-1545 | 2010-08-24 |
| 1922169572 | Jonathan Stephen White | Physician Assistant | 144 Jack Farrar Ln, Tullahoma, TN 37388-2398 | 2006-12-13 |
| 1083703896 | Jonathan Doyle White | Family Medicine | 160 Greene 721 Rd Ste 4, Paragould, AR 72450-8995 | 2006-10-11 |
| 1437260957 | Jonathan C White | Radiology | 9670 26th Bay St, Norfolk, VA 23518-1808 | 2006-08-31 |
| 1073522132 | Jonathan L White | Urology | 9420 Key West Ave., Suite 420, Rockville, MD 20850 | 2006-08-07 |
| 1396749099 | Jonathan Sebastian White | Dentist | 623 N 4th St, Steubenville, OH 43952-1935 | 2005-06-09 |
| 1760962948 | Jonathan White | Contractor | 530 Kings County Dr Ste 102, Hanford, CA 93230-5954 | 2018-08-17 |
| 1356827349 | Jonathan Steven White | Specialist/Technologist | 504 College Dr, Albany, GA 31705-2796 | 2018-07-13 |
| 1265931604 | Jonathan White | Physician Assistant | 224 N Logan Blvd, Burnham, PA 17009-1850 | 2018-02-11 |
| 1093163123 | Jonathan Robert White | Physician Assistant | 901 Boren Ave Ste 850, Seattle, WA 98104-3301 | 2016-05-31 |
| Street Address |
751 E 163RD PL |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| 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 |
|---|---|---|---|---|
| 1265049746 | Lauren Bryant | Occupational Therapy Assistant | 17042 Wausau Ave, South Holland, IL 60473-3352 | 2020-09-28 |
| 1861906141 | Rachelle Wise | Occupational Therapy Assistant | 525 E 162nd St, South Holland, IL 60473-2384 | 2017-11-26 |
| 1053596635 | Jodi Hofstra | Occupational Therapy Assistant | 16639 Holland Ave, South Holland, IL 60473-2845 | 2008-01-02 |
| 1558582114 | Patricia Kenerson | Occupational Therapy Assistant | 430 E. 162nd Street, #246, South Holland, IL 60419 | 2007-05-01 |
| 1710108386 | Deenaa Williams | Occupational Therapy Assistant | 430 E. 162nd Street, #246, South Holland, IL 60473 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940886 | Kathleen Pumo | Occupational Therapy Assistant | 300 W 22nd St, Lombard, IL 60148-5417 | 2020-10-26 |
| 1093314593 | Melissa Eileen Suermann | Occupational Therapy Assistant | 300 S Station Rd, Glen Carbon, IL 62034-2739 | 2020-10-26 |
| 1992312631 | Agnieszka Wanda Bis | Occupational Therapy Assistant | 110 W Schaumburg Rd, Streamwood, IL 60107-1459 | 2020-09-27 |
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1326651894 | Laverne Reese | Occupational Therapy Assistant | 150 S Durkin Dr Apt, Springfield, IL 62704-1151 | 2020-08-25 |
| 1326650235 | Cheryl Annette Perrilles | Occupational Therapy Assistant | 5124 S Alaska Rd, Peoria, IL 61607-9541 | 2020-08-21 |
| 1003426487 | Allyx Underwood | Occupational Therapy Assistant | 111 S Homer St, Princeton, IL 61356-1850 | 2020-07-31 |
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1508483991 | Latika Kemp | Occupational Therapy Assistant | 7246 S. King Dr., Chicago, IL 60619-1726 | 2020-07-01 |
| 1770109381 | Zulema Carrillo Gonzalez | Occupational Therapy Assistant | 381 W Terra Cotta Ave Apt 4, Crystal Lake, IL 60014-3519 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
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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.