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: July 26, 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 and is a graduate of Other (1995).

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
Medical School CMSOtherGraduated 1995
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4880196583
PECOS Enrollment IDI20250903002206

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.

When was this NPI record last updated?

The NPPES record for Jonathan Packham was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.