Jenna Leigh Adamik
Individual provider Active NPI Occupational Therapist · Salt Lake City, UT
NPI 1255738282 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1255738282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 13670974-4201 (UT)
- Practice address
- 1430 E 4500 S
Salt Lake City, UT 84117-4208 - Phone
- (801) 272-8000
- NPI assigned
- Nov 19, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240806002948 | WA | Practitioner - Occupational Therapist in Private Practice | 9537510508 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00672800 | NJ | MD | Occupational Therapist |
| 13670974-4201 | UT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Therapy Services PLLC | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00672800 | NJ | |
| Occupational Therapist | 225X00000X | 13670974-4201 | UT | Yes |
Addresses
Primary practice location
1430 E 4500 S
Salt Lake City, UT 84117-4208
Mailing address
2278 E Deer Park LN
Draper, UT 84020-5731
Phone (215) 494-6695
Other providers in Salt Lake City, UT
- Seyedeh Mahsa Adabkhah
- Elizabeth Adair
- Scott J. Adair
- Thomas B Adair
- Adam McLachlan DDS PC
- Adams & Adams Enterprises Inc
- Molly Adams-Hyde
- Amber Mae Adams
- Austin Grant Adams
- Blake Adams
All providers in Salt Lake City, UT · Occupational Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.