MS. JACQUELYN MARIE BURK (NPI# 1396075511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396075511 |
| Entity Type | Individual |
| Full Name | MS. JACQUELYN MARIE BURK |
| Other Name | MS. JACQUELYN MARIE OLSEN-BONDY |
| Credential | COTA/L |
| Practice Address |
5520 Bridgeport Way University Place WA 98467 |
| Mailing Address |
4560 Se International Way Ste. 100 Milwaukie OR 97222 |
| Practice Telephone | 2535667166 |
| Mailing Telephone | 9712065202 |
| Mailing Fax Number | 9712065203 |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0C00000831 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5520 BRIDGEPORT WAY |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740519701 | Laura Jean Hubert | Physical Therapist | 5520 Bridgeport Way, University Place, WA 98467 | 2009-12-21 |
| 1306143102 | Patricia Ann Douglas | Physical Therapy Assistant | 5520 Bridgeport Way, University Place, WA 98467 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218927 | Juliette Gallardo-zamora | Behavioral Analyst | 5915 Orchard St. W, Tacoma, WA 98467 | 2019-10-30 |
| 1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
| 1801309091 | Penny L Crawford | Registered Nurse | 5424 57th Ave Ct. W., G8, University Place, WA 98467 | 2017-11-09 |
| 1316465578 | C.f. Bridgeport, LLC | Assisted Living Facility | 5250 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1689127037 | Rachel Ann Cruz | Counselor | 5915 Orcahrd St W, Tacoma, WA 98467 | 2016-08-02 |
| 1396099313 | Ryan Jack Holbrook | Massage Therapist | 6915 Lakewood Dr W Unit A2, Tacoma, WA 98467 | 2012-10-29 |
| 1437395548 | Karen Marie Noyes | Occupational Therapy Assistant | 5520 Bridgeport Way West, University Place, WA 98467 | 2008-12-18 |
| 1770751083 | Orchard Medical Clinic | Internal Medicine | 5320 Orchard St W, University Place, WA 98467 | 2008-02-20 |
| 1316137185 | Mary Ida Freitas | Massage Therapist | 5322 Orchard Street West, University Place, WA 98467 | 2007-07-27 |
| Find all providers in zip 98467 | ||||
| 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 |
|---|---|---|---|---|
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1437395548 | Karen Marie Noyes | Occupational Therapy Assistant | 5520 Bridgeport Way West, University Place, WA 98467 | 2008-12-18 |
| 1053881052 | Yana Onishchenko | Occupational Therapy Assistant | 3717 Grandview Dr W, University Place, WA 98466-2138 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942439 | Kathleen A Villyard | Occupational Therapy Assistant | 1102 Ross Ave Nw, Orting, WA 98360-7495 | 2020-08-12 |
| 1386252641 | Aynabeba Negatu Bekele | Occupational Therapy Assistant | 1203 170th Pl Sw, Lynnwood, WA 98037-3327 | 2020-07-22 |
| 1194345819 | Katie Chapman | Occupational Therapy Assistant | 14240 Se 18th St Apt D4, Bellevue, WA 98007-6025 | 2020-04-22 |
| 1700412558 | Trisha Kathleen Tremper Justice | Occupational Therapy Assistant | 400 Gilkey Rd, Burlington, WA 98233-2907 | 2020-03-12 |
| 1962040493 | Patricia Bradley-bunn | Occupational Therapy Assistant | 7311 Coal Creek Pkwy Se Apt K201, Newcastle, WA 98059-3068 | 2019-12-16 |
| 1568009009 | Samantha Kay Hobbs | Occupational Therapy Assistant | 3014 Smithers Ct S, Renton, WA 98055-5034 | 2019-12-03 |
| 1801438411 | Wendy Evelyn Lowe | Occupational Therapy Assistant | 106 Monroe Rd, Port Angeles, WA 98362-8695 | 2019-10-15 |
| 1851944342 | Kendra Danielle Hyde | Occupational Therapy Assistant | 800 Medcalf St, Montesano, WA 98563 | 2019-07-23 |
| 1285286864 | Michele E Cary | Occupational Therapy Assistant | 710 Feildstone Dr Sw, Olympia, WA 98502-9851 | 2019-07-12 |
| 1710544523 | Debra Bilbrey | Occupational Therapy Assistant | 19742 Ash Crest Loop Ne, Poulsbo, WA 98370-7390 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98467 |
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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.