Alyssa Raeann Jenkins, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013716 Issued in MI

Practice address

9444 Lapeer Rd
Davison, MI 48423-1755

Phone

(810) 652-8650

NPI assigned

Oct 25, 2019

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Occupational Therapist

  Medicare reassignment NPD
• Joseph B. Luna M.D., P.C.

  • Pediatrics Physician
  • Davison, MI
  • NPI 1609944578
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1174166896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3030 N CENTER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062665",
            "telephone_number": "810-423-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9444 LAPEER RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231755",
            "telephone_number": "810-652-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ALYSSA",
        "middle_name": "RAEANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deshaun Jackson
• Kristine Marie Janke-Stefanko
• Terri Lynne Jarvis, OTRL
• Kimberly Marie Jaskulka, NURSE PRACTITIONER
• Jawad a Shah MD PC (Insight Physical Therapy & Rehab Center)
• Deanne Jones
• Joseph B. Luna M.D., P.C.
• Monica Joshua
• Jusko More Communication Associates Incorporated
• David N Kamuiru, CRNA

• Occupational Therapist in Davison, MI
• Providers in Davison, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.