JONATHAN PACKHAM OTR/L
NPI 1023450350
Occupational Therapist in Houghton, MI

Active since July 29, 2013
901 W MEM DR, HOUGHTON, MI 49931(906) 482-9400 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Packham Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN PACKHAM OTR/L (NPI 1023450350) is an individual occupational therapist in Houghton, Michigan, licensed in Michigan (5201006187) and active in the NPI registry since July 2013. He maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1023450350
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJONATHAN PACKHAMCredential: OTR/L
Location Address901 W MEM DRHoughton, MI 49931-2475
Mailing Address901 W Mem DrHoughton, MI 49931-2475
Sole ProprietorNo
Enumeration DateJuly 29, 2013
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1023450350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses✔ Licensed in MI · 5201006187✔ Licensed in WI · 8557
Definition
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.
901 W MEM DR, Houghton, MI 49931

Secondary Practice Location 1

Location 1Marshfield Clinic, 1000 N Oak AveMarshfield, WI 54449 · Phone (715) 387-5511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Packham Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

6

Medicare enrollment records show Jonathan Packham reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
9576 HIGHWAY 70
Minocqua, WI 54548
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Home Health
1215 W KNAPP ST
Rice Lake, WI 54868
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
901 W MEM DR
HOUGHTON, MI 49931
Social Worker
901 W MEM DR
HOUGHTON, MI 49931
Behavior Technician
901 W MEM DR
HOUGHTON, MI 49931
Social Worker
901 W MEM DR
HOUGHTON, MI 49931
Registered Nurse
901 W MEM DR
HOUGHTON, MI 49931
Social Worker (Clinical)
901 W MEM DR
HOUGHTON, MI 49931
Social Worker (Clinical)
901 W MEM DR
HOUGHTON, MI 49931
Social Worker
901 W MEM DR
HOUGHTON, MI 49931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Packham's NPI number?

The NPI number for Jonathan Packham is 1023450350. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Where is Jonathan Packham located?

Jonathan Packham practices at 901 W Mem Dr, Houghton, MI 49931. The listed phone number is (906) 482-9400.

What is Jonathan Packham's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jonathan Packham enrolled in Medicare?

Yes. Jonathan Packham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Packham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Packham reassigns Medicare benefits to 6 organizations: Mchs Hospitals Inc (Minocqua, WI), Flambeau Hospital Inc (Park Falls, WI), Marshfield Clinic Inc (Marshfield, WI), Lakeview Medical Center Inc Of Rice Lake (Rice Lake, WI), Memorial Hospital, Inc (Neillsville, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Packham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Packham was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.