Jordan Michael Vincke, O.T.R.L.

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

5201009740 Issued in MI

Practice address

3707 Katalin CT
Bay City, MI 48706-2161

Phone

(989) 671-0866

NPI assigned

Mar 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Champions Forever, LLC

  • Rehabilitation Clinic/Center
  • Southfield, MI
  • NPI 1215760905
  NPD (past)
• David a. Wiersema, D.O., PLLC

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
  • NPI 1154572972
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1497286314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 5TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086344",
            "telephone_number": "989-860-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062161",
            "telephone_number": "989-671-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCKE",
        "first_name": "JORDAN",
        "middle_name": "MICHAEL",
        "credential": "O.T.R.L.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201009740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Verlinde
• Taylor R Vermeersch, BCBA
• Susan Marie Vian, LMSW
• Jordyn Nicole Villano
• Angelena Gabrial Villanueva
• Kumari Vineeta
• Parneet Virk, DDS
• Vision Quest Optical, LLC
• Visiting Nurse Services of Michigan
• Visiting Nurse Services of Michigan

• Neurorehabilitation Occupational Therapist in Bay City, MI
• Providers in Bay City, MI by specialty
• Neurorehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.