Jodi E Portice, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202007391 Issued in MI

Practice address

1660 Fort St
Trenton, MI 48183

Phone

(734) 304-4159

NPI assigned

Mar 11, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Psygenics Inc

  • Clinical Social Worker
  • Dearborn, MI
  • NPI 1669736104

  Occupational Therapy Assistant

  NPD

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1548701477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22276 SILVER CREEK LN",
            "city": "ROCKWOOD",
            "state": "MI",
            "postal_code": "481731084",
            "telephone_number": "734-775-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "734-304-4159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 W Outer Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482353458",
            "country_code": "US",
            "telephone_number": "313-340-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTICE",
        "first_name": "JODI",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-11",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Drug Stores Inc and Subsidiaries
• Dawn Catherine Perry
• Paul Kennedy Perry, D.O.
• Cassandra Lynn Pickerill, CRNA
• Sabrina Pinson
• Jennifer M Porubsky, D.O.
• Vicente T Posadas, MD
• Possibilities Counseling LLC
• Janette Mae Potter, MS LLP
• Ppom

• All providers in Trenton, MI
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.