Jaclyn Danielle Buckingham, MOT, OTR/L
NPI 1477105062ActiveIndividual· Occupational Therapist· Ontario, CA
Occupational Therapist (MOT, OTR/L) with Southern California Permanente Medical Group, practicing in Ontario, California. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1477105062 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MOT, OTR/L |
| Sole proprietor | Yes |
| NPI issued | Jul 12, 2019 |
| Last updated in NPPES | May 5, 2022 |
| Certified by provider | May 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 20120 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
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