JEFFREY BUCKNAM (NPI# 1295164846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295164846 |
| Entity Type | Individual |
| Full Name | JEFFREY BUCKNAM |
| Practice Address |
7711 Gingerwood Dr Traverse City MI 49685-9024 |
| Practice Telephone | 2317156122 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201005105 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7711 GINGERWOOD DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49685-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508379496 | Alexandra Hull | Physical Therapist | 4177 Village Park Dr., Suite B, Traverse City, MI 49685 | 2017-11-14 |
| 1215452164 | Holli Home Health Care, LLC | Home Health | 2062 North Us-31 South, Suite A, Traverse City, MI 49685 | 2017-08-11 |
| 1013307867 | Culver Senior Living, Inc. | Foster Care Agency | 1745 N West Silver Lake Rd, Traverse City, MI 49685 | 2015-02-02 |
| 1295154656 | Mark Langlois Jr. | Family Medicine | 5191 Rosewood Dr, Traverse City, MI 49685 | 2014-04-14 |
| 1679844849 | Crystal Lake Clinic, PC | Family Medicine | 5191 Rosewood Dr, Traverse City, MI 49685 | 2012-01-20 |
| 1487103610 | Laura Christine Field | Social Worker | 6325 Cherry Blossom Dr, Traverse City, MI 49685-5000 | 2016-09-29 |
| 1730132879 | Franklin Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 404 W Commerce Dr, Suite B, Traverse City, MI 49685-5854 | 2006-05-18 |
| 1588281695 | Carly Overmire | Behavior Technician | 3000 Arborvitae Dr Apt 11, Traverse City, MI 49685-6708 | 2020-07-06 |
| 1134576853 | Paula Mclane | Registered Nurse | 2400 W Crown Dr Unit 1, Traverse City, MI 49685-6715 | 2016-05-23 |
| 1376927756 | Crystal Lake Clinic P.C. | Family Medicine | 4025 Chums Village Dr, Traverse City, MI 49685-6992 | 2015-07-15 |
| Find all providers in zip 49685 | ||||
| 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 |
|---|---|---|---|---|
| 1922663723 | Stacey Beyer, Otr Pllc | Occupational Therapist | 4764 Fairway Dr, Traverse City, MI 49685-7479 | 2019-05-07 |
| 1497259642 | Gretchen Gaylord Fraser | Occupational Therapist | 2970 Keewaydin Trl, Traverse City, MI 49686-8564 | 2018-03-22 |
| 1346744919 | Laura Lynn Hayes | Occupational Therapist | 2119 Black Forest Ln, Traverse City, MI 49696-8165 | 2018-03-20 |
| 1801330774 | Dawn Brown | Occupational Therapist | 1470 Outer Dr W, Traverse City, MI 49685-8687 | 2016-12-13 |
| 1336511393 | Jessica Rose Loose | Occupational Therapist | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2015-10-29 |
| 1982087995 | Allison Nemetz Schajter | Occupational Therapist | 4110 Copper Ridge Dr., Ste 202, Traverse City, MI 49684 | 2015-07-08 |
| 1144613217 | Brooke Ensing | Occupational Therapist | 328 Munson Ave Ste A, Traverse City, MI 49686-3097 | 2015-03-12 |
| 1922438845 | Kathleen Bair | Occupational Therapist | 783 Lake George Trl, Traverse City, MI 49696-9457 | 2013-11-13 |
| 1255769188 | Julie Jordan Cook | Occupational Therapist | 808 S Garfield Ave Ste A, Traverse City, MI 49686-3464 | 2013-11-01 |
| 1760740740 | Deanna L Sinclair | Occupational Therapist | 335 W South Airport Rd, Ste B, Traverse City, MI 49686-4886 | 2012-04-27 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49685 |
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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.