Jacolyn Hudson

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

348446 Issued in OR

Practice address

2213 Country Club Rd
Woodburn, OR 97071-2811

Phone

(503) 982-4200

Fax

(503) 981-2323

NPI assigned

Oct 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.21 of 100Reported as group

Quality

71.09

Promoting interoperability

99

Improvement activities

40

Cost

70.44

Medicare enrollment (NPD)

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.

• Group Health Cooperative of South Central Wisconsin

  • Health Maintenance Organization
  • Madison, WI
  • NPI 1245260165
  Medicare reassignment Care Compare group NPD
• Sanders Hand Therapy, Inc

  • Hand Occupational Therapist
  • Woodburn, OR
  • NPI 1164700837
  NPD (past)
• Group Health Cooperative of South Central Wi - Princeton Club

  • Multi-Specialty Clinic/Center
  • Madison, WI
  • NPI 1790112621
  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551484800000",
    "number": "1639540149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1114",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970131114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 COUNTRY CLUB RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712811",
            "telephone_number": "503-982-4200",
            "fax_number": "503-981-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8995 SW Miley Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970705485",
            "country_code": "US",
            "telephone_number": "503-694-8366",
            "fax_number": "503-694-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JACOLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2019-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "348446",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "348446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500647838",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Parker Holmes
• Daniel Hoopes, DDS
• Candice Ann Hopper
• Kendall Forsythe Horn, DMD
• Kayla Elise Hoy
• Lyndsay J Huebsch, PT
• Chungah E Huggett, RPH
• Alyssa Hurst
• Icco, LLC
• Samantha Lynn Irvin

• Hand Occupational Therapist in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Hand Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.