Jerade McCain Caulkins, OTD, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

61442239 Issued in WA

Practice address

3719 88TH St NE Ste a
Marysville, WA 98270-7228

Phone

(360) 659-9621

NPI assigned

Jun 19, 2023

Sex

Male

Sole proprietor

Yes

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 WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

Practice addresses (Care Compare)

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.

• Summit Rehabilitation PLLC

  • Multi-Specialty Clinic/Center
  • Lake Stevens, WA
  • NPI 1558492934
  Medicare reassignment Care Compare group NPD
• Cascade Rehabilitation Associates, PLLC

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617

  Multi-Specialty

  Medicare reassignment NPD
• Cascade Rehabilitation Associates, PLLC

  • Physical Therapist
  • Mukilteo, WA
  • NPI 1770359010

  Multi-Specialty

  NPD
• Summit Rehabilitation PLLC

  • Physical Therapist
  • Everett, WA
  • NPI 1760374771

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1679258685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 88TH ST NE STE A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 88TH ST NE STE A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707228",
            "telephone_number": "360-659-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULKINS",
        "first_name": "JERADE",
        "middle_name": "MCCAIN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "61442239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascade Medical Investors Limited Partnership
• Cascade Nurse Delegating LLC
• Cascadia Clinic LLC
• Diane L Cashman, ARNP
• Kaila Casper
• Susan Cavanagh
• CC Compassionate Care LLC
• Jainaba Ceesay
• Moises Emmanuel Cervantes-Perez, DDS
• Bai Cham, RN, BSN

• Hand Occupational Therapist in Marysville, WA
• Providers in Marysville, WA by specialty
• Hand Occupational Therapist in Washington

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