Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639711559 Deactivated / Inactive NPI Male Practitioner

Jacob Clevenger , OTR, L

Occupational Therapist • Murray, KY

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacob Clevenger has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2019
NPI Deactivation Date December 29, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Jacob Clevenger, OTR, L was a registered Occupational Therapist practicing in Murray, KY. Throughout an active medical career spanning 3 years, Jacob Clevenger provided care at the practice location at 1710 KY-121 SUITE K until profile deactivation on 2022-12-29.

Practice Location & Contact Primary Location

Practice Address

1710 Ky-121 Suite K

Murray, KY 42071

Telephone 2707676397

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Murray, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Murray, KY (2319 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-05
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License KY 280029

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Madison Cohoon

Speech-Language Pathologist

NPI 1083282164
Hannah Wheeler , MA, CCC-SLP

Speech-Language Pathologist

NPI 1295407518

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Kristen Thompson , MOT, OTR, L

Occupational Therapist - Pediatrics

NPI 1326673328

Master of Occupational Therapy, Occupational Therapist Registered, L

Katie Wyatt

Speech-Language Pathologist

NPI 1447986781
NPI 1467654269

Physical Therapist Assistant, Occupational Therapist Registered, L

Emilee Fraliex , COTA, L

Occupational Therapy Assistant

NPI 1629820832

Certified Occupational Therapy Assistant, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 09, 2023

Registered at 1710 KY-121 SUITE K, MURRAY, KY 42071 (Tel: 2707676397)

📍
Updated Business Mailing Address January 09, 2023

Registered at 2110 VINTAGE HILLS DR APT A, MURRAY, KY 420714780 (Tel: 9316191564)

👤
Provider Name / Credentials Updated January 09, 2023

Recorded as JACOB CLEVENGER, OTR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2023

Occupational Therapist (License #280029 in KY)

🔄
NPI Profile Reactivated January 04, 2023

Record officially reactivated for active practice on January 04, 2023

⚠️
NPI Profile Deactivated December 29, 2022

Record deactivated on December 29, 2022

NPI Profile Active October 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2019

Registered at 3351 ASPEN GROVE DR STE 350, FRANKLIN, TN 370672912 (Tel: 6157215921)

📍
Updated Business Mailing Address October 11, 2019

Registered at 3351 ASPEN GROVE DR STE 350, FRANKLIN, TN 370672912 (Tel: 6157215921)

👤
Provider Name / Credentials Updated October 11, 2019

Recorded as JACOB CLEVENGER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration October 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jacob Clevenger. Be the first to share your experience!

Sign in to leave a review for Jacob Clevenger

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1639711559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2019
Last Update: January 09, 2023
Deactivation Date: December 29, 2022
Sole Proprietor: Yes

Mailing Address

2110 Vintage Hills Dr Apt A

Murray, KY 420714780

Phone: 9316191564

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.