Individual provider Active NPI

Jessica Harthun, OTR

  • Occupational Therapist
  • Brighton, MI
National Provider Identifier
1760107577
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013076 Issued in MI
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

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL vicky@oxfordrecoverycenter.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025001982 MI Practitioner - Occupational Therapist in Private Practice 6507232071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201013076MIMDOccupational 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.

Verify at the official NPI Registry.