Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568509867 Individual Practitioner Female Practitioner

Jacquelyn Sample , MED OTRL

Occupational Therapist • Columbia, MO

Professional Overview & Biography Verified Profile Summary

Jacquelyn Sample, MED OTRL is a registered healthcare professional specializing in Occupational Therapist in Columbia, MO. Practice services are available at 300 PORTLAND STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Portland Street

Columbia, MO 65202

Telephone 5738823757
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Columbia, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
74 Specialists

Practicing in Columbia, MO (2799 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

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License MO 004712

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
476068812 (MS)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Divya Sood , OTD, OTR, L

Occupational Therapist

NPI 1336326933

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 07, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2009

Registered at 300 PORTLAND STREET, COLUMBIA, MO 65202 (Tel: 5738823757)

📍
Updated Business Mailing Address August 07, 2009

Registered at 300 PORTLAND STREET, COLUMBIA, MO 65202 (Tel: 5738823757)

👤
Provider Name / Credentials Updated August 07, 2009

Recorded as JACQUELYN SAMPLE, MED OTRL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2009

Occupational Therapist (License #004712 in MO)

🟢
Initial NPI Registration & Enumeration January 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568509867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: August 07, 2009
Sole Proprietor: No

Mailing Address

300 Portland Street

Columbia, MO 65202

Phone: 5738823757

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.