Jacqueline Ann Freeman, MSOTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

L2479280 Issued in MI

Practice address

412 E 1St St
Flint, MI 48502-1901

Phone

(810) 236-7500

NPI assigned

Nov 4, 2013

Last updated

Jun 21, 2021By 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 1

Addresses

Other names 1

• Jacqueline Ann Kettler Former name

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1407285034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 1ST ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021901",
            "telephone_number": "810-236-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 1ST ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021901",
            "telephone_number": "810-236-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Genesee St",
            "address_purpose": "LOCATION",
            "city": "Frankenmuth",
            "state": "MI",
            "postal_code": "487341313",
            "country_code": "US",
            "telephone_number": "989-652-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MSOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "L2479280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "KETTLER",
            "middle_name": "ANN",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Jean Freds, LMSW
• Amanda Fredwall, RN
• Freedom Fields Senior Community
• Melinda Freeland, LMSW
• Alyssa Marie Freeman
• Marilyn Freeman, LMSW. ACSW
• Elloweese Denise Freer, CRNA
• Laura Ann Frelich, LPC
• Kimberly Frelix
• Ebony French

• Physical Rehabilitation Occupational Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Physical Rehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.