JENNIFER DEATHERAGE
NPI 1619419009
Occupational Therapy Assistant in Show Low, AZ

Active since November 16, 2016
2401 E HUNT DR, SHOW LOW, AZ 85901(928) 537-5333 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Deatherage NPPES

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

JENNIFER DEATHERAGE (NPI 1619419009) is an individual occupational therapy assistant in Show Low, Arizona, licensed in Arizona (6718) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1619419009
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameJENNIFER DEATHERAGE
Location Address2401 E HUNT DRShow Low, AZ 85901-7920
Mailing Address2401 E Hunt DrShow Low, AZ 85901-7920 · (928) 537-5333
Sole ProprietorNo
Enumeration DateNovember 16, 2016
NPI 1619419009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in AZ · 6718
Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.

2401 E HUNT DR, Show Low, AZ 85901

Other Providers at the Same Location NPPES 9

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

Occupational Therapy Assistant
2401 E HUNT DR
SHOW LOW, AZ 85901
Physical Therapy Assistant
2401 E HUNT DR
SHOW LOW, AZ 85901
Physical Therapist
2401 E HUNT DR
SHOW LOW, AZ 85901
Physical Therapy Assistant
2401 E HUNT DR
SHOW LOW, AZ 85901
Physical Therapy Assistant
2401 E HUNT DR
SHOW LOW, AZ 85901
Internal Medicine
2401 E HUNT DR
SHOW LOW, AZ 85901
Assisted Living Facility
2401 E HUNT DR
SHOW LOW, AZ 85901
Speech-Language Pathologist
2401 E HUNT DR
SHOW LOW, AZ 85901

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 Jennifer Deatherage's NPI number?

The NPI number for Jennifer Deatherage is 1619419009. It was assigned to this individual provider in the NPPES registry on November 16, 2016.

Where is Jennifer Deatherage located?

Jennifer Deatherage practices at 2401 E Hunt Dr, Show Low, AZ 85901. The listed phone number is (928) 537-5333.

What is Jennifer Deatherage's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Deatherage was last updated on November 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.