JORDAN MARIE FREDRICK (NPI# 1740800523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740800523 |
| Entity Type | Individual |
| Full Name | JORDAN MARIE FREDRICK |
| Practice Address |
9131 Sandpiper Ct Orland Park IL 60462-3274 |
| Practice Telephone | 7084658391 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057004408 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9131 SANDPIPER CT |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462-3274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
| 1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
| 1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
| 1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
| 1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
| 1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
| Find all providers in zip 60462 | ||||
| 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 |
|---|---|---|---|---|
| 1619364817 | Tynisa Rodriguez | Occupational Therapy Assistant | 16170 S. Kingsport Road, Qtc, Inc., Orland Park, IL 60467-5602 | 2015-04-25 |
| 1831552983 | Kayla Briggs | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2016-04-05 |
| 1336520857 | Migdalia Lopez | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-06-10 |
| 1295115103 | Timothy Johnson II | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-06-05 |
| 1285013433 | Edyta Sroka | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-05-20 |
| 1588042113 | Doneshia Jenkins-winston | Occupational Therapy Assistant | 16170 Kingsport Rd, Qualtiy Therapy & Consultation, Inc., Orland Park, IL 60467-5602 | 2015-05-15 |
| 1487031423 | Suad Abdullah | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-04-28 |
| 1578940508 | Anna Morris | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-04-28 |
| 1306233531 | Margaret Valela | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-04-27 |
| 1275920530 | Agatha Woods | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-04-23 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
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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.