JAKE CAVENAUGH (NPI# 1730508664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730508664 |
| Entity Type | Individual |
| Full Name | JAKE CAVENAUGH |
| Practice Address |
15 Salem Church Rd Tifton GA 31793-6754 |
| Practice Telephone | 2293920558 |
| Mailing Telephone | 2293920558 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15 SALEM CHURCH RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31793-6754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508428442 | Tift Regional Health System Inc | Nurse Practitioner | 1464 Carpenter Road S, Tifton, GA 31793 | 2019-07-01 |
| 1528556990 | Careconnect Health, Inc. | Clinic/Center | 1909 Hwy. 82 West, Suites 3 & 4, Tifton, GA 31793 | 2018-05-01 |
| 1003132754 | Mark Davis Wilson | Pediatrics | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 | 2010-04-19 |
| 1003982752 | Leanette S Roberson | Counselor | 1603 Mallard Lane, Tifton, GA 31793 | 2006-11-27 |
| 1356447536 | Tift County Comissioner of Roads & Revenues | Ambulance | 1209 N Tifton Avenue, Tifton, GA 31793 | 2006-09-15 |
| 1295063956 | Fran Mcpherson | Nurse Practitioner | 2201 Rutland Rd, Tifton, GA 31793-5026 | 2009-11-18 |
| 1710542451 | Tiffany Kennedy | Contractor | 2770 Eb Hamilton Dr Apt 203, Tifton, GA 31793-5060 | 2019-05-08 |
| 1801948229 | Frank M Davis | Family Medicine | 67 Hutchinson Rd, Tifton, GA 31793-5551 | 2007-01-17 |
| 1629552237 | Allison M Holland | Contractor | 166 Cambridge Ct, Tifton, GA 31793-5675 | 2018-09-19 |
| 1215189865 | Cindia Poole Dubravcic | Nurse Practitioner | 2802 Moore Hwy, Abac, Tifton, GA 31793-5679 | 2008-10-15 |
| Find all providers in zip 31793 | ||||
| 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 |
|---|---|---|---|---|
| 1003474875 | Amber Cooper | Occupational Therapy Assistant | 1451 Newton Dr, Tifton, GA 31794-3752 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403282 | Kaitlyn Breese Swain | Occupational Therapy Assistant | 3713 Tarva Rd, Albany, GA 31721-8687 | 2020-09-29 |
| 1306451414 | Yvonne G Forbes | Occupational Therapy Assistant | 3412 Conley Downs Dr, Powder Springs, GA 30127-1199 | 2020-09-15 |
| 1396356614 | Chukwuma Jordan Okafor | Occupational Therapy Assistant | 3201 Windcliff Dr Se, Marietta, GA 30067-3814 | 2020-08-11 |
| 1861018913 | Lavina Michelle Andrews | Occupational Therapy Assistant | 288 Osceola Trl N, Jesup, GA 31545-4853 | 2020-06-24 |
| 1386285153 | Rww Outpatient Rehab Services, LLC | Occupational Therapy Assistant | 1860 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5065 | 2019-10-03 |
| 1356998769 | Jaclyn Renee Mason | Occupational Therapy Assistant | 609 Lake Vista Dr, Jefferson, GA 30549-4606 | 2019-08-20 |
| 1326692658 | Jacqueline Renee Rhem | Occupational Therapy Assistant | 1012 Enota Ave Ne, Gainesville, GA 30501-1802 | 2019-07-25 |
| 1437719713 | Tommy Tanner | Occupational Therapy Assistant | 3018 Spicewood Dr, Augusta, GA 30909-6489 | 2019-06-18 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1508424458 | Misty Myrick Copeland | Occupational Therapy Assistant | 318 Keen Rd, Summerville, GA 30747-6379 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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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.