Jodi Lynn Needham, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1367027 Issued in WI

Practice address

400 Water Ave
Hillsboro, WI 54634

Phone

(608) 489-8260

Fax

(608) 489-8193

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• Miss Jodi Lynn Cordts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841370624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "WONEWOC",
            "state": "WI",
            "postal_code": "53968",
            "telephone_number": "608-464-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "54634",
            "telephone_number": "608-489-8260",
            "fax_number": "608-489-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1367027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPI",
            "identifier": "693182",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "CORDTS",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Miller, D.C.
• Thomas James Moodie, OTR
• Moxie-MH&CM Services
• Tamur Jehan Mueenuddin, MD
• Wayne E. Myhre, D.D.S.
• Josie Ann Neisius
• Meghan Nelson
• Katherine Anne O'Rourke, DO
• Laurie Ann Orr, OTA
• Janelle Marie Osborne, P.T.A.

• Occupational Therapy Assistant in Hillsboro, WI
• Providers in Hillsboro, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.