Jenna Leigh Adamik, | |
1430 E 4500 S, Salt Lake City, UT 84117-4208 | |
(801) 272-8000 | |
Not Available |
Full Name | Jenna Leigh Adamik |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1430 E 4500 S, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255738282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR00672800 (New Jersey) | Secondary |
225X00000X | Occupational Therapist | 13670974-4201 (Utah) | Primary |
Provider Name | Select Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230411000750 |
Mailing Address | Practice Location Address |
---|---|
Jenna Leigh Adamik, 2278 E Deer Park Ln, Draper, UT 84020-5731 Ph: (215) 494-6695 | Jenna Leigh Adamik, 1430 E 4500 S, Salt Lake City, UT 84117-4208 Ph: (801) 272-8000 |
Adam Porter, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-2119 | |
Aloe Otte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Kyle Fairchild, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 E Bishop Federal Ln, Salt Lake City, UT 84115 Phone: 801-487-7557 | |
Mark Powell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-268-7111 | |
Steven Wayne Newton, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Bishop Federal Lane, Salt Lake City, UT 84115 Phone: 801-493-8903 Fax: 801-468-6843 | |
Jeff Mackay, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 | |
Kathryn Roof, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 |