Jaclyn Rose Pomajzl, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007749 Issued in MI

Practice address

38777 6 Mile Rd
Livonia, MI 48152-2694

Phone

(888) 414-7056

NPI assigned

Jun 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1194036285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 WOODLAND AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734616",
            "telephone_number": "618-567-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38777 6 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522694",
            "telephone_number": "888-414-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMAJZL",
        "first_name": "JACLYN",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007749",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1218",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2003017242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas E Pokora, CCP
• Scott Robert Polick, D.O.
• Nina Polini, PSYD
• Falon Rose Pollifrone, PA-C
• Nicholas Angelo Polydoras, OTR
• Paul Robert Pomeroy Jr., M.D.
• Avianna Crucita Pope
• Hayden Poplin
• Julia Nicole Porambo
• Nina Porcaro

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.