Jessica Lynn Slater, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

L1630006 Issued in MI

Practice address

9100 Lapeer Rd
Suite C
Davison, MI 48423-3620

Phone

(810) 653-0100

NPI assigned

Mar 23, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Hamtramck Orthopedic Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Davison, MI
  • NPI 1124027966
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1174847990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 JEFFERSON BLVD",
            "address_2": "SUITE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074244",
            "telephone_number": "810-348-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 LAPEER RD",
            "address_2": "SUITE C",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233620",
            "telephone_number": "810-653-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "L1630006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Silvis
• Ajit Singh, M.D.
• Scott A Sitko, LPTA
• Dana Rae Skelton, MS, OTR
• Jessica Rose Slade, LMT
• David J Slezak, DDS
• Kelsey Sluder, PT, DPT
• Mark Ellis Smith, D.C.
• Ray Patrick Smith
• Vilola Smith, RN

• 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 Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.