Jennifer L Adams, COTA

Individual provider Active NPI Occupational Therapy Assistant · Clio, MI

NPI 1821911033 · NPPES record last updated Aug 3, 2026

Key facts

NPI
1821911033
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
5202007623 (MI)
Practice address
5355 W Farrand Rd
Clio, MI 48420-8249
Phone
(810) 687-4567
NPI assigned
Aug 3, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202007623 MI Yes

Addresses

Primary practice location

5355 W Farrand Rd
Clio, MI 48420-8249

Mailing address

5355 W Farrand Rd
Clio, MI 48420-8249
Phone (810) 687-4567

Other providers in Clio, MI

All providers in Clio, MI · Occupational Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.