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Jesse Buckner , COTA, L

Occupational Therapy Assistant β€’ Medford, OR

Active NPI 1154951259 Individual Practitioner Female Practitioner
Practice location in NPPES

834 S Front St
Medford, OR 975022726

Call 5416647400 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

834 S Front St

Medford, OR 975022726

Telephone 5416647400
Organization at the Same NPPES Address or Phone
Willow Creek Healthcare Llc Facility NPI 1003639733

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

NPI first issued

2020

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 Medford and Oregon

18 active clinicians are listed under Occupational Therapy Assistant with a practice address in Medford, OR (389 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Medford

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

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: 2020-04-04
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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: Oregon Medical Board.
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.

1 listed
Ingrid Passier , FNP

Nurse Practitioner - Primary Care

NPI 1326783184

Family Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location April 04, 2020

Registered at 834 S FRONT ST, MEDFORD, OR 975022726 (Tel: 5416647400)

βœ…
NPI Profile Active January 17, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 17, 2020

Registered at 2045 SILVERADA BLVD, RENO, NV 895122051 (Tel: 7753593161)

πŸ“
Business Mailing Address (Initial Record) January 17, 2020

Registered at 560 NE F ST STE A, #114, GRANTS PASS, OR 97526

πŸ‘€
Provider Name / Credentials (Initial Record) January 17, 2020

Recorded as JESSE BUCKNER, COTA/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2020

Occupational Therapy Assistant

🟒
Initial NPI Registration & Enumeration January 17, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154951259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2020
Last Update: April 04, 2020
Sole Proprietor: Yes

Mailing Address

560 Ne F St Ste A, #114

Grants Pass, OR 97526

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.