NPPES file of Aug 9, 2026

Jack Emmendorfer

Occupational Therapy Assistant · Chesterfield, MI

Jack Emmendorfer is an occupational therapy assistant with a practice address in Chesterfield, Michigan, and NPI 1427831247, issued on Aug 15, 2023. Check the license (Michigan 5202010112, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1427831247
Name
Jack Emmendorfer
Primary taxonomy
Occupational Therapy Assistant 224Z00000X
License number
5202010112 MI
Self-reported in NPPES; status is on the state search
Practice location
33875 Kiely Dr, Chesterfield, MI 48047
Phone
(586) 725-6030
Enumerated
Aug 15, 2023
Record last updated
Aug 15, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 33875 Kiely Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Stephanie Abul, MDDermatology Physician1205366572
  2. Olivera AvramOccupational Therapy Assistant1073071643
  3. Tammy EllisPhysical Therapy Assistant1104646645
  4. Wendy Kahler, DPTPhysical Therapist1669011375
  5. Lena Pas, OTROccupational Therapist1205337474
  6. Josie Villegas, LMSWClinical Social Worker1154776417

Verify Jack Emmendorfer in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 5202010112
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

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Jack Emmendorfer among 903 occupational therapy assistant records in Michigan

Jack Emmendorfer is one of 903 occupational therapy assistant records with a practice address in Michigan. 0% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2023, is newer than 78% of them.

  • NPI issued2023 · 78% of these records are older, 15% newer
  • In a Medicare fileNo · 0% of these records are
  • In the CMS Doctors and Clinicians fileNo · 0% of these records are
  • Record last updated2023 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 224Z00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

7 occupational therapy assistant records list a practice address in Chesterfield

They are 7 of the 1,617 NPPES records with a practice address in Chesterfield, and 903 occupational therapy assistant records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 occupational therapy assistant records with the nearest ZIP codes

  1. Olivera AvramChesterfield, MI 480471073071643
  2. Dawn Harvey, COTAChesterfield, MI 480471417000936
  3. Katie NardelliMacomb, MI 480441982377396
  4. Alaina PawlowskiMacomb, MI 480441447112214
  5. Julia Sarotte, COTALMacomb, MI 480441023370277
  6. Courtney Vanderhaegen, COTAMacomb, MI 480441922600527
  7. Jennifer Atwood, COTA/LMount Clemens, MI 480431184748253
  8. Christine Jeffery, COTAMount Clemens, MI 480431437378023

Common questions

What is Jack Emmendorfer's NPI number?

Jack Emmendorfer's National Provider Identifier (NPI) is 1427831247, issued on Aug 15, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Jack Emmendorfer located?

The NPPES record lists a practice address at 33875 Kiely Dr, Chesterfield, MI, 48047. Phone: (586) 725-6030. Providers update this record themselves, so call before visiting.

How can I verify Jack Emmendorfer's license?

NPPES lists Michigan license number 5202010112, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.