Jacquelyn Robinson, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60917866 Issued in WA

Practice address

19307 E Cataldo Ave
Spokane Valley, WA 99016-9489

Phone

(509) 558-5400

NPI assigned

Jan 31, 2019

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

Other names 1

• Jacquelyn Cruse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Function First OT, PLLC

  • Occupational Therapist
  • Spokane, WA
  • NPI 1053922054
  NPD Authorized official

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1184189482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 E FORREST AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160201",
            "telephone_number": "509-262-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19307 E CATALDO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990169489",
            "telephone_number": "509-558-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JACQUELYN",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60917866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "CRUSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason A Robertson, CASE MANAGER
• Niki Robertson, RN
• Julia Rose Robins, ARNP
• Chad Davis Robinson, PHARMD
• Darryl A Robinson, CASE MANAGER
• Megan Robinson, BCBA LBA
• Carmen Robles-Jorge
• Anne-Marie Lise Denise Rocheleau, PT
• Morgan Heather Rochon, RN
• Ty John Rockwell, LMT

• Occupational Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.