JACQUELYN JOHNSON


Address: 530 Park Ave E, Princeton, IL 61356-3901
Phone: 8158764494

JACQUELYN JOHNSON (NPI# 1710241286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710241286
Entity Type Individual
Full Name JACQUELYN JOHNSON
Credential OTR/L
Practice Address 530 Park Ave E
Princeton
IL 61356-3901
Practice Telephone 8158764494
Practice Fax Number 8158762030
Mailing Telephone 8158764494
Mailing Fax Number 8158762030
Enumeration Date 2012-06-29
Last Update Date 2012-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 056.001008 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JACQUELYN JOHNSON

NPI Name Taxonomy Address Enumeration
1922543594 Jacquelyn Charise Johnson Psychologist 1020 S Olive St, Los Angeles, CA 90015-1602 2017-01-05
1700400769 Jacquelyn L Johnson Counselor 620 Ne 2nd St, Gresham, OR 97030-7514 2020-06-04
1194380576 Jacquelyn L Johnson Genetic Counselor, MS 611 W Park St, Urbana, IL 61801-2529 2019-05-01
1891180402 Jacquelyn Johnson Occupational Therapist 809 S Chugach St Ste 1, Palmer, AK 99645-6665 2015-03-31
1336570068 Jacquelyn Johnson Rehabilitation Practitioner 4285 N Rancho Dr Ste 130, Las Vegas, NV 89130-3455 2013-12-05
1124306527 Jacquelyn Joy Johnson Occupational Therapy Assistant 111 W 36th St, Scottsbluff, NE 69361-4636 2011-08-02
1891710984 Jacquelyn Lee Johnson Nurse Practitioner 811 2nd St Se, Suite A, Little Falls, MN 56345-3559 2006-07-12

Office Location

Street Address 530 PARK AVE E
City PRINCETON
State IL
Zip Code 61356-3901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124021308 Julia Rackley Perry Memorial Hospital General Acute Care Hospital 530 Park Ave E, Princeton, IL 61356-3901 2005-05-23
1427529577 Ashley Kannenberg Dietitian, Registered 530 Park Ave E, Princeton, IL 61356-2598 2018-12-16
1689126799 Jo A Muller Nurse Practitioner 530 Park Ave E, Ste 207, Princeton, IL 61356-3901 2016-10-25
1578940524 Jennifer Hoffman Nurse Practitioner 530 Park Ave E, Princeton, IL 61356-3901 2015-04-29
1114326956 Ketan R Patel Internal Medicine 530 Park Ave E, Suite 101, Princeton, IL 61356-3901 2014-08-18
1922411602 Julia Rackley Perry Memorial Hospital Clinic/Center 530 Park Ave E, Princeton, IL 61356-3901 2014-06-10
1942551312 Jenny Gaworski Nurse Practitioner 530 Park Ave E, Princeton, IL 61356-3901 2012-09-26
1619231719 Victoria Jeannine Anderson Physical Therapy Assistant 530 Park Ave E, Princeton, IL 61356-2598 2012-07-03
1023372869 Debra K Austin Physical Therapist 530 Park Ave E, Princeton, IL 61356-2598 2012-06-26
1609138858 Jennifer Lee Heckroth Physical Therapist 530 Park Ave E, Princeton, IL 61356-3901 2012-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548698558 Shelley Gorenz Counselor 1009 S. Main St., Princeton, IL 61356 2013-10-30
1780016626 Jennifer Phillips Pharmacist 610 N. Main St., Princeton, IL 61356 2013-08-02
1477848521 Princeton Prompt Care LLC Clinic/Center 2128 North Main Street, Princeton, IL 61356 2011-06-16
1306014196 Lifefit Physical Rehab, Ltd. Clinic/Center 1225 N. Sixth St., Princeton, IL 61356 2008-02-14
1568669778 Hawthorne Inn Supportive Living Facility Assisted Living Facility 136 N. Sixth St., Princeton, IL 61356 2007-06-29
1720209240 Michelle Lee Mortensen Music Therapist 816 S. First St., Princeton, IL 61356 2007-05-01
1073733465 Jarred Allen Farrell Chiropractor 682 East Peru Street, Princeton, IL 61356 2007-04-26
1952488397 Donald R Marion Optometrist 2 Park Avenue West, Princeton, IL 61356 2006-11-01
1427138247 Bruce Waldo Shriver Dentist 422 E Peru St, Princeton, IL 61356 2006-10-16
1871689612 Jason A Monroe Dentist 334 Backbone Rd East, Princeton, IL 61356 2006-10-05
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780206342 Anjali R Patel Occupational Therapist 33 Treetops Cir, Princeton, NJ 08540-8584 2020-05-17
1740746841 Ramya Chandrasekaran Occupational Therapist 1 Orchid Ct, Princeton, NJ 08540-9429 2019-02-13
1770068447 Peak Physical Therapy, LLC Occupational Therapist 200 Beauchamp Ste 112, Princeton, TX 75407-9137 2018-09-28
1508212689 Catherine Campbell Occupational Therapist 11 Balcort Dr, Princeton, NJ 08540-7614 2016-05-09
1730565706 Kailani Balageo Talton Occupational Therapist 141 Faison Rd, Princeton, NC 27569-7422 2015-07-31
1487049425 Darshana C Mayekar Occupational Therapist 32 Fair Acres Ct, Princeton, NJ 08540-9531 2015-04-06
1083034607 Furheen Khan Occupational Therapist 248 Carriage Way, Princeton, NJ 08540-7324 2014-04-22
1548522154 Mary Katherine Easter Occupational Therapist Rr 2 Box 212, Princeton, MO 64673-9429 2012-06-10
1083878037 Vishal R Chheda Occupational Therapist 522 Executive Dr, Princeton, NJ 08540-1527 2008-07-17
1639340805 Jennifer Lynn Nordstrom Occupational Therapist 1408 15th St N, Princeton, MN 55371-6154 2008-03-17
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Competitor

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City PRINCETON
Zip Code 61356

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Dataset Information

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.

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