Individual provider Active NPI

Jamie A Bartolovich, OTD, OTR/L

  • Occupational Therapist
  • Northfield, OH
National Provider Identifier
1366276339
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
519115 Issued in OH
Practice address
154 E Aurora Rd
Northfield, OH 44067-2053
Phone
(330) 998-2055
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 519115 OH Primary

Addresses

Primary practice location

154 E Aurora Rd
Northfield, OH 44067-2053

Mailing address

20065 Quarry Rd
Wellington, OH 44090-9735
Phone (440) 865-8838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
519115OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1366276339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20065 QUARRY RD",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440909735",
            "telephone_number": "440-865-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E AURORA RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672053",
            "telephone_number": "330-998-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOVICH",
        "first_name": "JAMIE",
        "middle_name": "A",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "519115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.