JENNIFER LYNN MATTHIESEN (NPI# 1508184151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508184151 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN MATTHIESEN |
| Credential | COTA/L |
| Practice Address |
4555 S Manhattan Ave Tampa FL 33611-2305 |
| Practice Telephone | 7084662442 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA10783 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4555 S MANHATTAN AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33611-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710062393 | Kindred Hospitals East, LLC | Long Term Care Hospital | 4555 S Manhattan Ave, Tampa, FL 33611-2305 | 2006-10-25 |
| 1003336520 | Lara Quesada | Speech-Language Pathologist | 4555 S Manhattan Ave, Tampa, FL 33611-2305 | 2017-06-26 |
| 1538498134 | Knd Development 59, LLC | Hospitalist | 4555 S Manhattan Ave, Tampa, FL 33611-2305 | 2009-12-10 |
| 1982806485 | Radiology Associates of Tampa Pa | Radiology | 4555 S Manhattan Ave, Radiology Assoc of Tampa At Kindred Hospital Tampa, Tampa, FL 33611-2305 | 2007-06-05 |
| 1144305392 | Blair Skinner Alsup | Dietitian, Registered | 4555 S Manhattan Ave, Tampa, FL 33611-2305 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| Find all providers in zip 33611 | ||||
| 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 |
|---|---|---|---|---|
| 1518586734 | Deandre D Blackwell | Occupational Therapy Assistant | 6608 S West Shore Blvd Apt 4202, Tampa, FL 33616-1560 | 2020-04-09 |
| 1982113411 | Stephanie Susan Lyon Price | Occupational Therapy Assistant | 1309 E 29th Ave, Tampa, FL 33605-1041 | 2017-09-27 |
| 1386178283 | Charles Stuart | Occupational Therapy Assistant | 313 E. Oak Ave, Tampa, FL 33602 | 2017-04-18 |
| 1043752140 | Charity Jane Pero | Occupational Therapy Assistant | 4301 N Central Ave, 3, Tampa, FL 33603-3933 | 2016-11-07 |
| 1861864696 | Latoya Nachae Bell | Occupational Therapy Assistant | 502 W Fletcher Ave, Tampa, FL 33612-3420 | 2015-10-20 |
| 1144691114 | Blake Lemmon | Occupational Therapy Assistant | 12850 Saddle Club Cir Apt 201, Tampa, FL 33635-9700 | 2015-10-15 |
| 1861881773 | Katherine Minisee | Occupational Therapy Assistant | 18903 Pebble Links Cir, Apt 205, Tampa, FL 33647-1893 | 2015-01-15 |
| 1720484975 | Myrna Rentas | Occupational Therapy Assistant | 12004 Tuscany Bay Dr Apt 102, Tampa, FL 33626-1343 | 2014-11-17 |
| 1174930770 | Francis Segarra | Occupational Therapy Assistant | 8801 Hunter's Lake Dr Apt# 824, Tampa, FL 33647 | 2014-07-15 |
| 1699199430 | Kevin Horvath | Occupational Therapy Assistant | 5002 W Waters Ave, Tampa, FL 33634-1313 | 2014-02-14 |
| Find all providers in TAMPA | ||||
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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.