Jaiden Wentz McCormick, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105677 Issued in MN

Practice address

804 Oak St
Brainerd, MN 56401-3755

Phone

(218) 454-5500

NPI assigned

Jul 5, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1770079527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 OAK ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013755",
            "telephone_number": "218-454-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 OAK ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013755",
            "telephone_number": "218-454-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JAIDEN",
        "middle_name": "WENTZ",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J Mattson, DDS
• Ted Matzen, M.D.
• Jonathan S Mayer, MS LPC
• Kendra Dee McAlpine
• Tara McCapes, MASSAGE THERAPIST
• Paul Joseph McCormick
• Michael McDermott, D.D.S.
• Tarah McElhaney, RN
• Tanya McLaughlin, LPN
• Shawn S McNally, LICSW

• Occupational Therapist in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.