Jessica Van Walleghem

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12478682-4201 Issued in MI

Practice address

16137 Leone Dr
Macomb, MI 48042-4063

Phone

(586) 566-0326

NPI assigned

May 20, 2019

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

Enrolled in MI

Enrollment records 1

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.

• Thera-Peds

  • Physical Therapy Clinic/Center
  • Macomb, MI
  • NPI 1508202151
  Medicare reassignment NPD
• Legendary Pediatric Therapy

  • Occupational Therapist
  • Draper, UT
  • NPI 1568869899
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1649836271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BELANGER ST",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16137 LEONE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424063",
            "telephone_number": "586-566-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WALLEGHEM",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "12478682-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Untied Hearts Group
• Kurt Thomas Urbin, DC
• Urgent Care Aid Macomb PLLC
• Urgent Care Aid PLLC
• Heather Joan Valenti, FNP-C
• Candace Vanbuhler, CTRS
• Courtney Vanderhaegen, COTA
• Vandykeholdingstwentythree LLC
• Sarah Vansipe
• Christina Mary Varghese, DDS

• Occupational Therapist in Macomb, MI
• Providers in Macomb, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.