MRS. JORDAN MANNING PACK (NPI# 1588027387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588027387 |
| Entity Type | Individual |
| Full Name | MRS. JORDAN MANNING PACK |
| Other Name | JORDAN MANNING |
| Credential | OTR/L |
| Practice Address |
97 Hughes Rd Ste H Madison AL 35758-3401 |
| Mailing Address |
127 Madelyn Dr Meridianville AL 35759-1533 |
| Practice Telephone | 2564687384 |
| Mailing Telephone | 2564687384 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2019-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4169 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | OCCUPATIONAL THERAPIST LICENSE | 4169 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Saint Clair Ave Sw, Huntsville, AL 358015021 | 2565395111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979508 | Jordan Pack | Behavior Technician | 306 Wynn Dr Nw, Huntsville, AL 35805-1961 | 2019-08-29 |
| Street Address |
97 HUGHES RD STE H |
| City | MADISON |
| State | AL |
| Zip Code | 35758-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447448550 | Pediatric Therapy Link of North Alabama, LLC | Clinic/Center | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2007-10-15 |
| 1508358250 | Hannah Winningham Mabrey | Occupational Therapy Assistant | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2018-05-30 |
| 1306358270 | Jacob Brannon Ellis | Occupational Therapy Assistant | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2017-10-31 |
| 1447607007 | Hannah Gilbert | Occupational Therapist | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2016-05-24 |
| 1265888564 | Ashley Hobbs | Occupational Therapist | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2016-05-05 |
| 1861679060 | Dawn Michelle Wallace | Occupational Therapy Assistant | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| 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 |
|---|---|---|---|---|
| 1639780398 | Jenna Zavetz | Occupational Therapist | 1994 Gallatin Pike N Ste 202, Madison, TN 37115-2024 | 2020-08-14 |
| 1093357956 | Jill Sharon Broderick | Occupational Therapist | 37 Kings Rd Ste 101, Madison, NJ 07940-2500 | 2019-10-11 |
| 1265080444 | Meri Claire Soldevila | Occupational Therapist | 1820 August Bnd, Madison, MS 39110-6825 | 2019-08-30 |
| 1285287243 | Nancilynn Dickey | Occupational Therapist | 7712 Old Canton Rd Unit B, Madison, MS 39110-9299 | 2019-07-18 |
| 1770060964 | Sprout Pediatric Therapy, LLC | Occupational Therapist | 108 Serenity Way, Madison, MS 39110-6992 | 2018-07-20 |
| 1558855890 | Taylor Crawford Lee | Occupational Therapist | 7712 Old Canton Rd Ste B, Madison, MS 39110-9299 | 2018-06-20 |
| 1275027005 | Andrew Joseph Witmer | Occupational Therapist | 429 S Yellowstone Dr, Madison, WI 53719-1021 | 2018-06-15 |
| 1689176323 | Magnolia Pediatric Therapy, LLC | Occupational Therapist | 239 Clark Farms Rd, Madison, MS 39110-8115 | 2018-03-07 |
| 1902308547 | Samantha Danz | Occupational Therapist | 1033 High St Apt 126, Madison, WI 53715-1928 | 2018-02-28 |
| 1578063657 | Noreen Annika Jeglum | Occupational Therapist | 501 N Whitney Way Apt 4, Madison, WI 53705-2745 | 2018-02-15 |
| Find all providers in MADISON | ||||
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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.