Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jazmine Shaynika Mack , OTD, OTR, L, CLT, CWT

Occupational Therapist β€’ East Chicago, IN

Active NPI 1184193328 Individual Practitioner Female Practitioner
Practice location in NPPES

4321 Fir St
East Chicago, IN 463123097

Call 2193927400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4321 Fir St

East Chicago, IN 463123097

Telephone 2193927400
Organization at the Same NPPES Address or Phone
Regency Hospital Of Northwest Indiana, Llc Facility NPI 1063414886

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in East Chicago and Indiana

4 active clinicians are listed under Occupational Therapist with a practice address in East Chicago, IN (3,010 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-10-20
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES IL 056.012705

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.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES IN 31006812A

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Brittany Hausmann , AGACNP-BC

Nurse Practitioner - Gerontology

NPI 1609207323

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Christiana Mclean , FNP-BC

Nurse Practitioner - Family

NPI 1689342156

Family Nurse Practitioner (Board Certified)

Leslie Owen , FNP-C

Nurse Practitioner - Family

NPI 1447013768

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 20, 2026

Registered at 4321 FIR ST, EAST CHICAGO, IN 463123097 (Tel: 2193927400)

πŸ“
Updated Business Mailing Address October 20, 2026

Registered at 4321 FIR ST, EAST CHICAGO, IN 463123097 (Tel: 2193927400)

πŸ‘€
Provider Name / Credentials Updated October 20, 2026

Recorded as JAZMINE MACK, OTD, OTR/L, CLT, CWT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2026

Occupational Therapist (license number reported to NPPES: IN 31006812A)

βœ…
NPI Profile Active November 16, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 16, 2018

Registered at 3633 BREAKERS DR, OLYMPIA FIELDS, IL 604611054 (Tel: 7087473333)

πŸ“
Business Mailing Address (Initial Record) November 16, 2018

Registered at 134 MASON ST, CALUMET CITY, IL 604095220 (Tel: 7083513021)

πŸ‘€
Provider Name / Credentials (Initial Record) November 16, 2018

Recorded as JAZMINE MACK, OTR/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2018

Occupational Therapist (license number reported to NPPES: IL 056.012705)

🟒
Initial NPI Registration & Enumeration November 16, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1184193328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2018
Last Update: October 20, 2026
Sole Proprietor: No

Mailing Address

4321 Fir St

East Chicago, IN 463123097

Phone: 2193927400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.