MR. JIMMY DALE COLLEY JR. (NPI# 1760972806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760972806 |
| Entity Type | Individual |
| Full Name | MR. JIMMY DALE COLLEY JR. |
| Credential | OTR/L |
| Practice Address |
9179 Frances Rd Otisville MI 48463-9411 |
| Practice Telephone | 8102102077 |
| Mailing Telephone | 8102102077 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201005312 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9179 FRANCES RD |
| City | OTISVILLE |
| State | MI |
| Zip Code | 48463-9411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568554681 | Great Lakes Family Dental Group - Otisville, P.C. | Dentist | 380 N State, Otisville, MI 48463 | 2006-09-28 |
| 1285696682 | George Mohamedally Do PC | Family Medicine | 387 North State, Otisville, MI 48463 | 2006-04-03 |
| 1407376536 | Kelsey Jo Penix | Counselor | 9445 Patricia Dr, Otisville, MI 48463-9406 | 2017-06-20 |
| 1285124537 | Dennys Pharmacy LLC | Pharmacy | 410 N State Rd, Otisville, MI 48463-9443 | 2018-05-12 |
| 1114313459 | Shelly Denise Hatchew | Physical Therapy Assistant | 9099 Dodge Rd, Otisville, MI 48463-9449 | 2015-04-14 |
| 1780859363 | Thomas W Wood | Pharmacist | 337 N State Rd, Otisville, MI 48463-9486 | 2008-04-24 |
| 1669503991 | Mary Joy Dela Rosa | Physical Therapist | 391 N State Rd, Suite A, Otisville, MI 48463-9486 | 2007-03-08 |
| 1760574974 | William E Norton II | Dentist | 380 N State Rd, Otisville, MI 48463-9486 | 2006-09-28 |
| 1932218492 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 337 North State Road, Otisville, MI 48463-9486 | 2006-08-29 |
| 1518579853 | Tijo Thomas Manthuruthil | Pharmacist | 337 N State Rd, Otisville, MI 48463-9486 | 2020-08-18 |
| Find all providers in zip 48463 | ||||
| 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 |
|---|---|---|---|---|
| 1598077174 | Courtney Jean Rosen | Occupational Therapist | 293 Robbins Road, Otisville, NY 10963 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759065 | Jennifer Willoughby Vogtmann | Occupational Therapist | 22400 Hoffman St, Saint Clair Shores, MI 48082-1721 | 2020-11-01 |
| 1740889146 | Samaah Abboud Khanafer | Occupational Therapist | 1036 N Denwood St, Dearborn, MI 48128-1569 | 2020-10-19 |
| 1912505322 | Legacy Healhcare Services, Inc. | Occupational Therapist | 42400 W 12 Mile Rd, Novi, MI 48377-3027 | 2020-10-16 |
| 1649878588 | Outside Ot L.L.C. | Occupational Therapist | 63999 Indian Trl, Ray, MI 48096-2516 | 2020-10-13 |
| 1023616216 | Elizabeth Trueblood | Occupational Therapist | 5664 Teton Trl, White Lake, MI 48383-4017 | 2020-10-12 |
| 1518564889 | Kristin Noel Hungerford | Occupational Therapist | 5103 W Pierson Rd Ste 3, Flint, MI 48504-1395 | 2020-10-08 |
| 1356948491 | Brittany N Nantais | Occupational Therapist | 48207 Lincoln Dr, Macomb, MI 48044-5013 | 2020-10-01 |
| 1578179065 | Mackenzie Gravelyn | Occupational Therapist | 10881 Marsh Ave, Allendale, MI 49401-9808 | 2020-09-20 |
| 1952913667 | Amber Lyn Hatcher | Occupational Therapist | 2682 Miller Rd, Tawas City, MI 48763-8619 | 2020-08-24 |
| 1639789092 | Matthew Horne | Occupational Therapist | 4356 Elizabeth St, Wayne, MI 48184-2154 | 2020-07-31 |
| 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.