NPIMap

Organization Active NPI

James Madison University

Doing business as JMU Occupational Therapy Clinical Education Services

  • Rehabilitation Clinic/Center
  • Harrisonburg, VA
National Provider Identifier
1891018917
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
JAMES MADISON UNIVERSITY
Doing business as
JMU Occupational Therapy Clinical Education Services
Practice address
131 W Grace St
Harrisonburg, VA 22807-0001
Phone
(540) 568-7749
Fax
(540) 568-6409
NPI assigned
Mar 3, 2010
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Ms. Julie Bonham, OTR/L
Title
Director
Phone
(540) 568-4980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

131 W Grace St
Harrisonburg, VA 22807-0001

Mailing address

Jmu MSC 9022
755 MLK Jr. Way
Harrisonburg, VA 22801-0001
Phone (540) 568-7749

Other names 1

  • JMU Occupational Therapy Clinical Education Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150107000989 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4880917475 Practice locations: Harrisonburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891018917. Details of each certification follow.

  • CCN 496745 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 496745

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
JMU OCCUPATIONAL THERAPY CLINICAL EDUCATION SERVIC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 8, 2015
Last certification
Aug 9, 2022
Ownership / control type
State Government
Facility address
131 W Grace Street Room 101
Harrisonburg, VA 22807

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jmu Audiology Clinic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

131 W Grace St
Harrisonburg, VA 22807
Phone (540) 568-4980

131 W Grace St
#9022
Harrisonburg, VA 22807

131 W Grace St
Ste 1000
Harrisonburg, VA 22807

601 University Blvd
#9022
Harrisonburg, VA 22807

Jmu Msc 9022
Harrisonburg, VA 22807

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1891018917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JMU MSC 9022",
            "address_2": "755 MLK JR. WAY",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228010001",
            "telephone_number": "540-568-7749",
            "fax_number": "540-568-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W GRACE ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228070001",
            "telephone_number": "540-568-7749",
            "fax_number": "540-568-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MADISON UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "BONHAM",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-568-4980",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMU Occupational Therapy Clinical Education Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JMU Occupational Therapy Clinical Education Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.