Jordan Anderson
Individual provider Active NPI Occupational Therapist · Saint Joseph, MI
NPI 1003386269 · NPPES record last updated Nov 30, 2018
Key facts
- NPI
- 1003386269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201010227 (MI)
- Practice address
- 1234 Napier Ave
Saint Joseph, MI 49085-2112 - Phone
- (269) 983-8332
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201010227 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201010227 | MI | Yes |
Addresses
Primary practice location
1234 Napier Ave
Saint Joseph, MI 49085-2112
Mailing address
1234 Napier Ave
Saint Joseph, MI 49085-2112
Other providers in Saint Joseph, MI
- Amelia Elizabeth Ames
- Ann Marie Amicarelli-Cruz
- Abena F Amponsah
- Catherine Anastas
- Kelsey Andershock
- Julia Heen Anderson
- Mary Lou Anderson
- Andrea Bontrager Counseling LLC
- Andrea Godawa DDS PLLC
- Jennifer Andree
All providers in Saint Joseph, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.