MARY LYNN JACOBS (NPI# 1487739637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487739637 |
| Entity Type | Individual |
| Full Name | MARY LYNN JACOBS |
| Credential | OT |
| Practice Address |
101 University Dr Suite A-6 Amherst MA 01002-2473 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 4133665703 |
| Practice Fax Number | 4139922019 |
| Mailing Telephone | 6302962223 |
| Mailing Fax Number | 6307599510 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1391 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA | 043527497 | 01 |
| MA | BC BS GROUP # | OG0011 | 01 |
| MA | 0389005 | 05 | |
| MA | CIGNA | 043527497 | 01 |
| MA | TUFTS-IND # | 469635 | 01 |
| MA | 9715568 | 05 | |
| MA | BC/BS INDIV PROVIDER # | OT0046 | 01 |
| MA | GREATWEST | 043527497 | 01 |
| ANTHEM | 110001391MA02 | 01 | |
| MA | TUFTS | 690675 | 01 |
| MA | CIGNA INDIV # | 7710306 | 01 |
| MA | BOSTON HEALTNET | 000000035317 | 01 |
| MA | CONNECTICARE | 043527 | 01 |
| MA | NORTH REGIONS CLAIMS | 043527497 | 01 |
| MA | DEPT OF LABOR | 103355100 | 01 |
| MA | UNICARE/GIC | 043527497 | 01 |
| CAQH | 11222870 | 01 | |
| MA | AETNA-INDIV # | 4214936 | 01 |
| MA | NETWORK HEALTH | 972730 | 01 |
| MA | CONSOLIDATED | 043527497 | 01 |
| MA | UNITED HEALTH CARE | 043527497 | 01 |
| MA | RAILROAD MEDICARE | 670001710 | 01 |
| OXFORD | P328227 | 01 |
| Street Address |
101 UNIVERSITY DR SUITE A-6 |
| City | AMHERST |
| State | MA |
| Zip Code | 01002-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851376743 | Angela Menard | Occupational Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2005-12-13 |
| 1578015699 | Ashley Drake | Physical Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2016-10-25 |
| 1780136879 | Leighann Ellis | Physical Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2016-10-25 |
| 1639626971 | Mary Murray | Physical Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2016-09-03 |
| 1497202881 | Sarah Thayer | Physical Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2016-09-02 |
| 1063969475 | Sarah Peterson | Physical Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2016-09-01 |
| 1043767551 | Zachary Gordon | Physical Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2016-09-01 |
| 1588111991 | Samantha Rate | Physical Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2016-09-01 |
| 1285181792 | Bryan Baker | Physical Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2016-09-01 |
| 1487108924 | Adam Babcock | Physical Therapist | 101 University Dr, Suite A-6, Amherst, MA 01002-2473 | 2016-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336625227 | Rachel Rudman | Chore Provider | 158 Leverett Road, Amberst, MA 01002 | 2018-07-14 |
| 1629568654 | Jacqueline Alvarez | Psychologist | Hitchcock House, 271 South Pleasant Street, Amherst, MA 01002 | 2018-05-15 |
| 1609244169 | Judith Fernandes | Personal Emergency Response Attendant | 222 Belchertown, Amherst, MA 01002 | 2015-09-14 |
| 1841683349 | Sheila Bray Moriarty | Dietitian, Registered | 10 Gatehouse Road #210, Amherst, MA 01002 | 2015-03-09 |
| 1750784708 | Sarah Englaish | Social Worker | 100 University Drive, 2nd Floor, Amherst, MA 01002 | 2014-10-06 |
| 1245657147 | Sylvia Megan Buzzell | Social Worker | 101 University Drive, Amherst, MA 01002 | 2014-03-28 |
| 1932525979 | Claudia Kaplan Phd LLC | Psychologist | 178 N Pleasant Street, Amherst, MA 01002 | 2014-03-14 |
| 1285075333 | Amira Y Pellett | Dietitian, Registered | 26 South Prospect Street Suite No. 9, Valley Nutrition Counselling, Amherst, MA 01002 | 2013-07-17 |
| 1124377668 | Emma Osborne | Counselor | 167 Montague Road, Amherst, MA 01002 | 2012-08-30 |
| 1629301742 | Lamar Josef Batiste | Social Worker | 45 Amherst Road, Pelham Elementary School, Pelham, MA 01002 | 2009-09-08 |
| Find all providers in zip 01002 | ||||
| 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 |
|---|---|---|---|---|
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1285121608 | Erin Maciejewski | Occupational Therapist | 73 Noel Dr, Amherst, NY 14221-3220 | 2018-04-20 |
| 1285166090 | Kirsten Wengerd | Occupational Therapist | 88 Fallen Oaks Ln, Amherst, OH 44001-3414 | 2017-03-30 |
| 1316490436 | Ashley Parker | Occupational Therapist | 103 Peppertree Dr Apt 4, Amherst, NY 14228-2908 | 2016-07-25 |
| 1447626056 | Mia Lovechio | Occupational Therapist | 132 Northampton Rd, Amherst, MA 01002-2512 | 2015-08-18 |
| 1598152423 | Katarina Hallonblad | Occupational Therapist | 16 S Sunset Ave, Amherst, MA 01002-2216 | 2015-04-17 |
| 1376944280 | Emily Grace Kershner | Occupational Therapist | 5 The Tradewinds Apt D, Amherst, NY 14221-2147 | 2014-09-10 |
| 1104249358 | Kristina Catherine Moustakis | Occupational Therapist | 462 Boston Post Rd, Amherst, NH 03031-2233 | 2014-01-23 |
| 1285917427 | Debra Schick | Occupational Therapist | 56 Larkspur Ln, Amherst, NY 14228-1975 | 2011-09-23 |
| 1003106246 | Sarah Durham | Occupational Therapist | 47160 Hollstein Dr, Amherst, OH 44001-3338 | 2011-04-08 |
| Find all providers in AMHERST | ||||
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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.