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

Jonathan Packham, OTR/L

Individual provider Occupational Therapist · NPI 1023450350

Jonathan Packham, OTR/L is an Occupational Therapist in Private Practice in Houghton, Michigan. Qualified in 1995, 31 years ago. Works from 2 locations. Licensed in Michigan and Wisconsin.

Years since qualifying
31
Licensed in
MI, WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
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

901 W Mem Dr
Houghton, MI 49931-2475
Phone: (906) 482-9400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Marshfield Clinic, Marshfield, WI 54449 — (715) 387-5511

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201006187 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 8557 (WI)

Record details

NPI number1023450350
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 29, 2013
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address901 W Mem Dr, Houghton, MI 49931-2475

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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