Jesse Nicodemus, MOT
NPI 1386114734 · Occupational Therapist · Grand Rapids, MI
Jesse Nicodemus, MOT is a Occupational Therapist provider in Grand Rapids, MI (NPI 1386114734).
Provider details
- NPI number
- 1386114734
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 201009340 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-28
- Last updated
- 2018-11-28
Frequently asked questions
- What is Jesse Nicodemus's NPI number?
- Jesse Nicodemus's National Provider Identifier (NPI) is 1386114734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Nicodemus's specialty?
- Jesse Nicodemus is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jesse Nicodemus located?
- Jesse Nicodemus's practice location on file with NPPES is 2320 E Beltline Ave Se, Grand Rapids, MI 49546-5906.
- What is Jesse Nicodemus's phone number?
- The practice phone number listed in the NPPES registry for Jesse Nicodemus is (616) 831-8666.
- Is Jesse Nicodemus's NPI active?
- Yes — Jesse Nicodemus's NPI (1386114734) is active in the NPPES registry as of the last update on 2018-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.