Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jackie Lynn Orta, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1093210239

Dr. Jackie Lynn Orta, OTD, OTR/L is an Occupational Therapist in Private Practice in Wyandotte, Michigan. Qualified in 2015, 11 years ago. Practices with The Shoreline Clinic LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2018
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 246-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201008390 (MI)

Record details

NPI number1093210239
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorYes
NPI enumeratedMarch 29, 2018
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Shoreline Clinic Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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