JACLYN DANIELLE BUCKINGHAM MOT, OTR/L
NPI 1477105062
Occupational Therapist in Ontario, CA

Active since July 12, 2019Accepts Medicare Assignment
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764(909) 476-5747 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 5, 2022, May 7, 2021, Jul 12, 2019 (3 updates tracked since 2019).

About Jaclyn Danielle Buckingham Mot, Otr/l NPPES

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

JACLYN DANIELLE BUCKINGHAM MOT, OTR/L (NPI 1477105062) is an individual occupational therapist in Ontario, California, licensed in California (20120) and active in the NPI registry since July 2019. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1477105062
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJACLYN DANIELLE BUCKINGHAMCredential: MOT, OTR/L
Location Address4688 ONTARIO MILLS PKWYOntario, CA 91764-5104
Mailing Address4688 Ontario Mills PkwyOntario, CA 91764-5104
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 12, 2019
Last NPPES UpdateMay 5, 20223 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1477105062 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 CA · 20120
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.
4688 ONTARIO MILLS PKWY, Ontario, CA 91764

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Danielle Buckingham Mot, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739567132
PECOS Enrollment IDI20220525001716

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.

Behavior Technician
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
Behavior Technician
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
Speech-Language Pathologist
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
Assistant Behavior Analyst
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
Behavior Analyst
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
Assistant Behavior Analyst
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
Assistant Behavior Analyst
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764
Behavior Technician
4688 ONTARIO MILLS PKWY
ONTARIO, CA 91764

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 Jaclyn Buckingham's NPI number?

The NPI number for Jaclyn Buckingham is 1477105062. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Jaclyn Buckingham located?

Jaclyn Buckingham practices at 4688 Ontario Mills Pkwy, Ontario, CA 91764. The listed phone number is (909) 476-5747.

What is Jaclyn Buckingham's specialty?

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

Is Jaclyn Buckingham enrolled in Medicare?

Yes. Jaclyn Buckingham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jaclyn Buckingham was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.