DR. JACKIE LYNN ORTA OTD, OTR/L
NPI 1093210239
Occupational Therapist in Wyandotte, MI
About Dr. Jackie Lynn Orta Otd, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKIE LYNN ORTA OTD, OTR/L (NPI 1093210239) is an individual occupational therapist in Wyandotte, Michigan, licensed in Michigan (5201008390) and active in the NPI registry since March 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jackie Lynn Orta Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jackie Orta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sarasota, FL 34233
- Reassigned Medicare billing, Florida enrollment
- 7 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.
WYANDOTTE, MI 48192
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 Jackie Orta's NPI number?
The NPI number for Jackie Orta is 1093210239. It was assigned to this individual provider in the NPPES registry on March 29, 2018.
Where is Jackie Orta located?
Jackie Orta practices at 2333 Biddle Ave, Wyandotte, MI 48192. The listed phone number is (734) 246-6000.
What is Jackie Orta's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jackie Orta enrolled in Medicare?
Yes. Jackie Orta is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jackie Orta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Orta reassigns Medicare benefits to The Shoreline Clinic, LLC (Sarasota, FL). The 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 Jackie Orta'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 Jackie Orta was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.