Jillian Lee Bartsch, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008189 Issued in MI

Practice address

4118 Kalamazoo Ave SE
Grand Rapids, MI 49508-3605

Phone

(616) 827-5981

NPI assigned

Mar 15, 2018

Last updated

Mar 15, 2018By the provider in NPPES

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

Other names 1

• Jillian Lee Schaible Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Mitten State Pediatric Therapy LLC

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1063021715
  Medicare reassignment

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1346743465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 KALAMAZOO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 KALAMAZOO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083605",
            "telephone_number": "616-827-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTSCH",
        "first_name": "JILLIAN",
        "middle_name": "LEE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "SCHAIBLE",
            "middle_name": "LEE",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew James Barton, D.C.
• Stephen Ross Barton, D.C.
• Bryan Chester Bartosik, CRNA
• Leonard Joseph Bartoszewicz, D.D.S.
• Andrea Barts, LMSW
• Baruch SLS, Inc (Heron Senior Community)
• Alyssa Nicole Basel, LLMSW
• Rhea Bashorebuell
• Jodi Basiaga, RDH
• Kiara Baskin, CD, CLC

• Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.