person
Mrs. Jessica Anne Black
Occupational Therapist in Indianapolis, Indiana
NPI 1336102607

Jessica Anne Black is a Occupational Therapist based in Bolingbrook, IN. Jessica Anne Black practices in Indianapolis, IN. The NPI Number for Jessica Anne Black is 1336102607 and holds a License No. 5296 (Indiana).

The current practice location address for Jessica Anne Black is 9302 N Meridian St Ste 190, Indianapolis, IN and can be reached out via phone at 317-843-1270 and via fax at 317-843-4174.

Location: 9302 N Meridian St Ste 190, Indianapolis, IN, 60440-4909
person
Provider Profile Details
NPI Number
1336102607
Provider Name
Jessica Anne Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
9302 N Meridian St Ste 190, Indianapolis, IN, 60440-4909
Phone Number
317-843-1270
Fax Number
317-843-4174
Provider Enumeration Date
04/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
555850076 01 IN MEDICARE PTAN
P00263219 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
9302 N Meridian St Ste 190
City
State
Zip
46260-1818
Phone Number
317-843-1270
Fax Number
317-843-4174
person
Provider Business Mailing Address Details
Address
9302 N Meridian St Ste 190
City
State
Zip
46260-1818
Phone Number
317-843-1270
Fax Number
317-843-4174
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
-
Taxonomy
License No.
5296 (North Carolina)
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Hand
Taxonomy
License No.
5296 (North Carolina)
Definition
Definition to come...
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