Jackeline Michelle Yagual Flores, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31007512A Issued in IN

Practice address

101 NW 1St St Ste 114
Evansville, IN 47708-1259

Phone

(812) 402-0444

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Forefront Community Therapy Inc

  • Physical Therapist
  • Evansville, IN
  • NPI 1821688607

  Occupational Therapist

  Medicare reassignment NPD
• Forefront Therapy LLC

  • Physical Therapist
  • Evansville, IN
  • NPI 1295198299

  Occupational Therapist

  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Occupational Therapist

  NPD
• Pediatric Possibilities

  • Pediatric Occupational Therapist
  • Clayton, NC
  • NPI 1649436718
  NPD (past)
• Pediatric Possibilities, P.a.

  • Specialist
  • Raleigh, NC
  • NPI 1366534026
  NPD (past)

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1306410998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-492-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 1ST ST STE 114",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081259",
            "telephone_number": "812-402-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7209 Creedmoor Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276131695",
            "country_code": "US",
            "telephone_number": "919-844-1100",
            "fax_number": "919-844-1102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 SE 4th St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477131201",
            "country_code": "US",
            "telephone_number": "812-461-6716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAGUAL FLORES",
        "first_name": "JACKELINE",
        "middle_name": "MICHELLE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13977",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007512A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Wulff, DMD
• John W Wy, MD
• Brandon Wynn, DO
• Dejun Xu, M.D.
• Kenneth Eric Yagodich, MD
• Hongyu Yang, MD
• Mei Yang, FNP
• Sumera Yaqub, M.D.
• Erin Michelle Yarbor, MS,CCCSLP
• Brittney Elaine Yates, LSW, CSW

• Occupational Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.