JORDAN EARLO TUBBS (NPI# 1275981318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275981318 |
| Entity Type | Individual |
| Full Name | JORDAN EARLO TUBBS |
| Credential | OTR |
| Practice Address |
17110 E 51st St Broken Arrow OK 74012-9279 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 9183551596 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17110 E 51ST ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-9279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073682662 | St John Villas Inc | Nursing Facility/Intermediate Care Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2006-11-07 |
| 1396382834 | Malory Harwell Whitney | Speech-Language Pathologist | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2019-12-03 |
| 1083271993 | Brandy Nicole Randolph | Physical Therapy Assistant | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2019-05-27 |
| 1780241703 | Sabina E Bell | Speech-Language Pathologist | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2019-05-24 |
| 1578055331 | Kristen Lynn Keene | Speech-Language Pathologist | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2018-06-06 |
| 1164940029 | City of Sapulpa | Skilled Nursing Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2017-08-31 |
| 1750768966 | Franciscan Villa LLC | Skilled Nursing Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2015-04-27 |
| 1205228384 | Jillian Gregory | Physical Therapy Assistant | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2015-02-25 |
| 1306250675 | Genesis | Nursing Facility/Intermediate Care Facility | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2014-06-16 |
| 1144666447 | Jeffery Gambill Cowen | Speech-Language Pathologist | 17110 E 51st St, Broken Arrow, OK 74012-9279 | 2013-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| 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 |
|---|---|---|---|---|
| 1689228272 | Light of Mine Pediatric and Adolescent Therapy Services, Pllc | Occupational Therapist | 4517 S. Yellow Pine Ave., Broken Arrow, OK 74011-5616 | 2019-07-31 |
| 1629481759 | Dewanna Goff | Occupational Therapist | 5305 S Maple Ave, Broken Arrow, OK 74011-4213 | 2014-06-05 |
| 1265878748 | Cheryl Duncanson | Occupational Therapist | 3105 S Poplar Ave, Broken Arrow, OK 74012-7550 | 2013-05-11 |
| 1538405899 | Darcy L Kickey | Occupational Therapist | 412 S 50th St, Broken Arrow, OK 74014-1674 | 2012-12-13 |
| 1225367766 | Leianna Wichowski | Occupational Therapist | 5110 E Dallas Pl, Broken Arrow, OK 74014-2687 | 2009-12-11 |
| 1568666295 | Carol J. Enders | Occupational Therapist | 2404 N 14th Pl, Broken Arrow, OK 74012-9293 | 2007-06-14 |
| 1578773149 | Teresa Lenihan Barton | Occupational Therapist | 2221 West Detroit Street, Broken Arrow, OK 74012 | 2007-05-23 |
| 1134349921 | Rachel Nicole Ottley | Occupational Therapist | 2257 W Washington St, Broken Arrow, OK 74012-6703 | 2007-04-26 |
| 1841417813 | Mary Yvonne Kitchen | Occupational Therapist | 133 W Winston St, Broken Arrow, OK 74011-6843 | 2007-04-19 |
| 1700916343 | Katharine Ann Dillsaver | Occupational Therapist | 2950 South Elm Place, Suite 456, Broken Arrow, OK 74012-7863 | 2007-03-06 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.