NPIMap

Organization Active NPI

Occupational Therapy Services, Inc.

Doing business as JUMP-IN Professional Services

  • Physical Rehabilitation Occupational Therapist
  • Hamburg, MI
National Provider Identifier
1467459826
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Legal business name
OCCUPATIONAL THERAPY SERVICES, INC.
Doing business as
JUMP-IN Professional Services
Practice address
10400 Hamburg Rd
Hamburg, MI 48139-1204
Phone
(810) 231-9042
Fax
(810) 231-9063
NPI assigned
Jun 30, 2005
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Ms. Jacquelin Kay Kilburn II, MA, OTRNPI 1760422588
Title
President
Phone
(810) 231-9042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L432774 MI
Physical Rehabilitation Occupational Therapist 225XP0019X Primary

Addresses

Primary practice location

10400 Hamburg Rd
Hamburg, MI 48139-1204

Mailing address

PO Box 205
10400 Hamburg Rd
Hamburg, MI 48139-0205
Phone (810) 231-9042

Other identifiers 2

IdentifierTypeStateIssuer
4682580MedicaidMI
67-0-D7-1058-0OtherMIBCBS PROVIDER

Other names 1

  • JUMP-IN Professional Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070816000572 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759377617 Receives reassigned benefits from 1 practitioner
Practice locations: Hamburg, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1467459826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "address_2": "10400 HAMBURG RD",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481390205",
            "telephone_number": "810-231-9042",
            "fax_number": "810-231-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 HAMBURG RD",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481391204",
            "telephone_number": "810-231-9042",
            "fax_number": "810-231-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "KILBURN",
        "authorized_official_first_name": "JACQUELIN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-231-9042",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MA, OTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "L432774",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4682580",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "67-0-D7-1058-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUMP-IN Professional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JUMP-IN Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.