JESSE BRYAN NICODEMUS MOT
NPI 1386114734
Occupational Therapist in Grand Rapids, MI
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
Specialties & Licenses
Group Practice 1
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.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
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 Jesse Nicodemus's NPI number?
The NPI number for Jesse Nicodemus is 1386114734. It was assigned to this individual provider in the NPPES registry on November 28, 2018.
Where is Jesse Nicodemus located?
Jesse Nicodemus practices at 2320 E Beltline Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 831-8666.
What is Jesse Nicodemus's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
When was this NPI record last updated?
The NPPES record for Jesse Nicodemus was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.