JESSE BRYAN NICODEMUS MOT
NPI 1386114734
Occupational Therapist in Grand Rapids, MI

Active since November 28, 2018
2320 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546(616) 831-8666 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jesse Bryan Nicodemus Mot NPPES

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

JESSE BRYAN NICODEMUS MOT (NPI 1386114734) is an individual occupational therapist in Grand Rapids, Michigan, licensed in Michigan (201009340) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1386114734
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJESSE BRYAN NICODEMUSCredential: MOT
Location Address2320 E BELTLINE AVE SEGrand Rapids, MI 49546-5906
Mailing Address2320 E Beltline Ave SeGrand Rapids, MI 49546-5906 · (616) 831-8666
Sole ProprietorYes
Enumeration DateNovember 28, 2018
NPI 1386114734 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
License Licensed in MI · 201009340
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.

2320 E BELTLINE AVE SE, Grand Rapids, MI 49546

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

Speech-Language Pathologist
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546
Internal Medicine
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546
Nurse Practitioner
2320 E BELTLINE AVE SE, HEARTLAND CARE PARTNERS
GRAND RAPIDS, MI 49546
Skilled Nursing Facility
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546
Skilled Nursing Facility
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546
Physical Medicine & Rehabilitation
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546
Occupational Therapy Assistant
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546
Speech-Language Pathologist
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386114734, enumerated as an "individual" on November 28, 2018.

The provider is located at 2320 E BELTLINE AVE SE GRAND RAPIDS, MI 49546 and the phone number is (616) 831-8666.

Occupational Therapist with taxonomy code 225X00000X.