Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Tiernan, OTRL

Individual provider Occupational Therapist · NPI 1912660689

Jacqueline Tiernan, OTRL is an Occupational Therapist in Private Practice in Ann Arbor, Michigan. Qualified in 2021, 5 years ago. Practices with Moriah, Incorporated, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

3200 E Eisenhower Pkwy
Ann Arbor, MI 48108-3231
Phone: (734) 677-0070
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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 5201012677 (MI)

Record details

NPI number1912660689
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorYes
NPI enumeratedOctober 19, 2021
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Moriah, Incorporated — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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