JACOB STEWART ANDERSON (NPI# 1356621163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356621163 |
| Entity Type | Individual |
| Full Name | JACOB STEWART ANDERSON |
| Credential | MA, OTR/L |
| Practice Address |
1899 Tate Blvd Se Ste 2106 Hickory NC 28602 |
| Mailing Address |
2483 Burke Memorial Park Rd Valdese NC 28690-9435 |
| Practice Telephone | 8283580976 |
| Mailing Telephone | 3049171801 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 12625 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 1738 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | OTR2444 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 811 Severn Dr, La Plata, MD 206469205 | 3012195263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802253 | Jacob Anderson | Behavior Technician | 1905 Daniels St Apt 10, Vancouver, WA 98660-2500 | 2019-07-01 |
| 1942619374 | Jacob Ray Anderson | Physical Therapist | 1110 Civic Center Blvd Ste. 502, Yuba City, CA 95993 | 2014-08-11 |
| 1902020761 | Jacob Christian Anderson | Occupational Therapist | 301 Nobles Ln, Old Orchard Beach, ME 04064-1627 | 2007-04-12 |
| 1659830669 | Jacob Anderson | Radiology | 600 Highland Ave, Madison, WI 53792-3440 | 2019-03-19 |
| 1891264990 | Jacob M Anderson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-11-19 |
| 1538658158 | Jacob Boone Anderson | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121-2483 | 2018-05-09 |
| 1023507035 | Jacob Anderson | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2018-05-04 |
| 1710494687 | Jacob Kyle Anderson | Nurse Anesthetist, Certified Registered | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-01-02 |
| 1104351709 | Jacob Anderson | Case Manager/Care Coordinator | 142 W Main St, Durant, OK 74701-5008 | 2017-04-21 |
| 1467801266 | Jacob Anderson | Internal Medicine | 245 N 15th St, 6th Floor, Philadelphia, PA 19102-1101 | 2016-06-13 |
| Street Address |
1899 TATE BLVD SE STE 2106 |
| City | HICKORY |
| State | NC |
| Zip Code | 28602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851927024 | Alexander Yang | Specialist/Technologist | 1899 Tate Blvd Se Ste 2106, Hickory, NC 28602-4200 | 2020-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| 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 |
|---|---|---|---|---|
| 1508227885 | Giana Ambria Partlow | Occupational Therapist | 2117 21st St Se, Apt 12, Hickory, NC 28602-3499 | 2016-03-14 |
| 1770953358 | Melissa Del Conte | Occupational Therapist | 905 43rd Avenue Ct Ne, Hickory, NC 28601-9050 | 2015-09-25 |
| 1063750370 | Stacey Mullis | Occupational Therapist | 431 9th St Nw, Hickory, NC 28601-3523 | 2013-01-21 |
| 1336495217 | Eddwina F Smith | Occupational Therapist | 2810 16th St Ne, Hickory, NC 28601-9600 | 2012-07-30 |
| 1457649022 | Ashley Nicole Cline | Occupational Therapist | 1154 Lenoir Rhyne Blvd Se, Hickory, NC 28602-5168 | 2011-07-18 |
| 1114178514 | Sarah Casteele Benton | Occupational Therapist | 3623 26th Street Dr Ne, Hickory, NC 28601-7206 | 2008-10-02 |
| 1598915688 | Tabitha M B Yates | Occupational Therapist | 4663 Pittstown Rd, Hickory, NC 28602-9740 | 2008-09-24 |
| 1407062284 | Heather Arlene Hoffman | Occupational Therapist | 1044 Autumn Ln, Hickory, NC 28602-9758 | 2007-05-16 |
| 1316093297 | Heather Brown Raines | Occupational Therapist | 549 1st St Nw, Hickory, NC 28601-4902 | 2007-01-25 |
| 1194817643 | Kelley Martin | Occupational Therapist | 1849 Tate Blvd Se, Hickory, NC 28602 | 2006-09-29 |
| Find all providers in HICKORY | ||||
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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.