JENNIFER LEIGH PATRICK (NPI# 1548270887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548270887 |
| Entity Type | Individual |
| Full Name | JENNIFER LEIGH PATRICK |
| Credential | COTA/L |
| Practice Address |
4924 Campbell Blvd Suite 110 Nottingham MD 21236-5908 |
| Practice Telephone | 4434422050 |
| Practice Fax Number | 4434422050 |
| Mailing Telephone | 4434422050 |
| Mailing Fax Number | 4434422050 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | A01560 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861924185 | Jennifer Ann Patrick | Licensed Practical Nurse | 10860 Wahine Dr N, Jacksonville, FL 32246-9428 | 2017-03-28 |
| 1831182427 | Jennifer Michele Patrick | Social Worker | 1020 Hitt Street, Columbia, MO 65212-0001 | 2005-08-29 |
| 1952926388 | Jennifer Marie Patrick | Counselor | 208 Racquette Dr, Fort Collins, CO 80524-4851 | 2020-06-11 |
| 1063899094 | Jennifer Patrick | Registered Nurse | 202639 E County Road 42, Woodward, OK 73801-5442 | 2015-04-28 |
| 1164774485 | Jennifer M Patrick | Audiologist | 5969 E Broad St, Suite 302, Columbus, OH 43213-1546 | 2012-10-10 |
| 1952698367 | Jennifer Marie Patrick | Nurse Anesthetist, Certified Registered | 110 29th Ave N Ste 200, Nashville, TN 37203 | 2011-07-06 |
| 1225269426 | Jennifer Lynn Patrick | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2009-08-05 |
| 1801926431 | Jennifer Patrick | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131 | 2007-03-06 |
| 1033277702 | Jennifer Cherese Patrick | Specialist | 430 W Main St, Dothan, AL 36301-1616 | 2006-12-05 |
| 1306938006 | Jennifer H Patrick | Physical Therapist | 4337 Ebenezer Rd, Nottingham, MD 21236-2143 | 2006-09-29 |
| Street Address |
4924 CAMPBELL BLVD SUITE 110 |
| City | NOTTINGHAM |
| State | MD |
| Zip Code | 21236-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114404332 | Anthony Trinh | Physical Therapist | 4924 Campbell Blvd, Nottingham, MD 21236-5908 | 2018-07-20 |
| 1255875134 | Maureen Luthardt | Nurse Practitioner | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2016-12-12 |
| 1003363854 | Kathryn Kloss | Nurse Practitioner | 4924 Campbell Blvd, #200, Nottingham, MD 21236-5908 | 2016-09-08 |
| 1356797773 | Jennifer Zanni | Physical Therapist | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2016-05-05 |
| 1851772024 | Elizabeth Ault | Physical Therapy Assistant | 4924 Campbell Blvd, Ste. 130a, Nottingham, MD 21236-5908 | 2015-06-14 |
| 1437559580 | Physiotherapy Corporation | Clinic/Center | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2014-08-26 |
| 1407261720 | Jessica Minacapelli Miele | Physical Therapist | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2014-06-25 |
| 1336408160 | Ethel Mojoko | Internal Medicine | 4924 Campbell Blvd, #200, Nottingham, MD 21236-5908 | 2012-05-14 |
| 1477849149 | Kristen Shaw Deitchman | Pediatrics | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2011-06-21 |
| 1003123027 | Danielle R. North | Physician Assistant | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2010-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| 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 |
|---|---|---|---|---|
| 1619343738 | Jennerra Owens | Occupational Therapy Assistant | 99 Chapeltowne Cir, Nottingham, MD 21236-1240 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988618 | Joy C Ikechukwu | Occupational Therapy Assistant | 1801 Metzerott Rd # Md20783, Adelphi, MD 20783-5101 | 2020-07-06 |
| 1225655459 | Frank Moss | Occupational Therapy Assistant | 2703 Bellbrook St, Temple Hills, MD 20748-1103 | 2020-07-04 |
| 1245855865 | Lori Stokes | Occupational Therapy Assistant | 721 Pin Oak Rd, Severna Park, MD 21146-3643 | 2020-06-09 |
| 1093334450 | Sreyleak Sok | Occupational Therapy Assistant | 1400 Forest Glen Rd # 225, Silver Spring, MD 20910-1459 | 2020-04-15 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1548800402 | Ez Therapy LLC | Occupational Therapy Assistant | 2219 York Rd Ste 106, Timonium, MD 21093-3139 | 2020-01-08 |
| 1992344667 | Sughra Hasan | Occupational Therapy Assistant | 7500 Greenway Center Dr Ste 111, Greenbelt, MD 20770-3502 | 2019-12-30 |
| 1982243978 | 360 Therapy Group LLC | Occupational Therapy Assistant | 2446 N Charles St, Baltimore, MD 21218-5113 | 2019-12-23 |
| 1982249413 | Winifred Tawah Forti | Occupational Therapy Assistant | 1404 Point O Woods Ct, Arnold, MD 21012-2375 | 2019-11-07 |
| 1447891668 | Sharman Patrice Patterson | Occupational Therapy Assistant | 11428 Red Jade Ct, Upper Marlboro, MD 20774-1583 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
| City | NOTTINGHAM |
| Zip Code | 21236 |
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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.