Active NPI
Jessica Harthun, OTR
- Occupational Therapist
- Brighton, MI
National Provider Identifier
1760107577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201013076
- Practice address
- 7030 Whitmore Lake Rd
Brighton, MI 48116-8533 - Phone
- (248) 486-3636
- Fax
- (810) 355-4352
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201013076 | MI | Primary |
Addresses
Primary practice location
7030 Whitmore Lake Rd
Brighton, MI 48116-8533
Mailing address
7030 Whitmore Lake Rd
Brighton, MI 48116-8533
Phone (248) 486-3636
Other names 1
- Jessica Hanley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | vicky@oxfordrecoverycenter.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221025001982 | MI | Practitioner - Occupational Therapist in Private Practice | 6507232071 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201013076 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1760107577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7030 WHITMORE LAKE RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481168533",
"telephone_number": "248-486-3636",
"fax_number": "810-355-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 WHITMORE LAKE RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481168533",
"telephone_number": "248-486-3636",
"fax_number": "810-355-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTHUN",
"first_name": "JESSICA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201013076",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "vicky@oxfordrecoverycenter.com",
"affiliation": "N",
"address_1": "7030 Whitmore Lake Rd",
"city": "Brighton",
"state": "MI",
"country_code": "US",
"postal_code": "481168533",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HANLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.