MRS. JESSICA ROSE LOOSE (NPI# 1336511393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336511393 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ROSE LOOSE |
| Credential | MOTRL |
| Practice Address |
3205 Supply Rd Traverse City MI 49696-9486 |
| Mailing Address |
7847 Larson Rd Sw South Boardman MI 49680-8602 |
| Practice Telephone | 2319351070 |
| Mailing Telephone | 8104293773 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201008393 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3205 SUPPLY RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49696-9486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772385 | Joan Mary Cloutier | Registered Nurse | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2019-10-22 |
| 1295249415 | Kyra Monique Shively | Registered Nurse | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2017-11-27 |
| 1710407069 | Alison Johns | Registered Nurse | 3205 Supply Rd, Traverse City, MI 49696-9486 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669965901 | Audrey Jo Cornell | Behavior Technician | 3163 Douglas Drive, Suite 110, Traverse City, MI 49696 | 2018-06-12 |
| 1972026680 | Stacey Lesnick Beyer | Occupational Therapist | 1810 Chartwell Dr., Traverse City, MI 49696 | 2017-07-25 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| 1407383490 | Cassandra Mccarty | Behavior Technician | 1363 Douglas Drvie, Suite 104, Traverse City, MI 49696 | 2017-05-22 |
| 1346776317 | Kaitlynd Hamstra | Behavior Technician | 304 Christina Lane, Traverse City, MI 49696 | 2017-05-11 |
| 1831526748 | Helena Kay Evans | Home Health Aide | 176 Island View Dr., Traverse, MI 49696 | 2013-10-09 |
| 1932543295 | Quality Elder Care L.L.C. | In Home Supportive Care | 2141 Blackforest Ln, Traverse, MI 49696 | 2013-04-17 |
| 1134462195 | Tc Chiropractic PC | Chiropractor | 1000 3 Mile Road, Traverse City, MI 49696 | 2013-03-28 |
| 1134663594 | Keith Finley | Behavioral Analyst | 1363 Douglas Dr, Traverse City, MI 49696 | 2016-12-05 |
| 1295755122 | Northwest Senior Resources Incorporated | Case Management | 1609 Park Dr, Traverse City, MI 49696-5946 | 2006-07-21 |
| Find all providers in zip 49696 | ||||
| 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 |
| 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 |
| 1295164846 | Jeffrey Bucknam | Occupational Therapist | 7711 Gingerwood Dr, Traverse City, MI 49685-9024 | 2013-11-04 |
| 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 | 49696 |
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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.