RENAISSANCE REHABILITATION ASSOCIATES (NPI# 1053599340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053599340 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE REHABILITATION ASSOCIATES |
| Practice Address |
4460 Sweet Cherry Ln Kalamazoo MI 49004-3725 |
| Practice Telephone | 2693775594 |
| Practice Fax Number | 2693448991 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | MR. JOEL M PHILLIPS (CEO) |
| Authorized Official Telephone | 2693775594 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 5601004162 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 225X00000X | Occupational Therapist | 5201006390 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4460 SWEET CHERRY LN |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49004-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134339021 | Christian Michael Petrovich | Occupational Therapist | 4460 Sweet Cherry Ln, Kalamazoo, MI 49004-3725 | 2007-05-22 |
| 1477757573 | Renaissance Rehabilitation Associates Pllc | Social Worker | 4460 Sweet Cherry Ln, Kalamazoo, MI 49004-3725 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386141018 | Jamie Kay Nevins | Nurse Practitioner | 4114 Mead St, Kalamazoo, MI 49004 | 2018-04-09 |
| 1396287231 | Joshua Tennyck | Specialist/Technologist | 1916 East G Ave, Parchment, MI 49004 | 2016-11-09 |
| 1861849960 | Karen Mcpherson | Rehabilitation Practitioner | 2826 Sonora St., Kalamazoo, MI 49004 | 2016-05-18 |
| 1972773182 | Interpretive Arts Counseling LLC | Counselor | 148 North Riverview Drive, Parchment, MI 49004 | 2008-03-04 |
| 1619071677 | Franklin Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2006-09-12 |
| 1396065132 | Michael Horosko | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-06-03 |
| 1144545625 | Paula Kay Crandell | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-03-29 |
| 1750606133 | Donald G Eichholz | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-03-29 |
| 1194040584 | Angela Renee Paska | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-03-29 |
| 1043534647 | Dawn Motakef | Pharmacist | 714 Shoppers Ln, Parchment, MI 49004-1118 | 2010-03-25 |
| Find all providers in zip 49004 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316691 | Susan Beth Sieklucki | Occupational Therapist | 2670 W F Ave, Kalamazoo, MI 49009-5469 | 2020-05-03 |
| 1881243475 | Christine Shaffer | Occupational Therapist | Bronson Heathcare Group, 601 John Street, Kalamazoo, MI 49007-5341 | 2019-09-06 |
| 1730732769 | Kelly Nicole Molenda | Occupational Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007-5341 | 2019-07-18 |
| 1942852645 | Kathryn Ann Sullivan | Occupational Therapist | 6789 Elm Valley Dr, Kalamazoo, MI 49009-7476 | 2019-07-12 |
| 1619443116 | Suzanne Roche | Occupational Therapist | 426 S Westnedge Ave Apt 4, Kalamazoo, MI 49007-5069 | 2018-10-23 |
| 1902386386 | Michele Catherine Dahlgren | Occupational Therapist | 3408 Miller Rd Ste 201, Kalamazoo, MI 49001-4111 | 2018-08-15 |
| 1316445034 | Jenna Leann Palczewski | Occupational Therapist | 1700 Bronson Way, Kalamazoo, MI 49009-1095 | 2018-01-28 |
| 1306357561 | Mary Therese Olbrot | Occupational Therapist | 5146 Burning Tree Rd, Kalamazoo, MI 49009-3804 | 2017-10-16 |
| 1053835124 | Jennifer Lynn Roelof | Occupational Therapist | 2578 Springbrook Dr, Kalamazoo, MI 49004-9667 | 2017-08-01 |
| 1861946915 | Rosanna Simonetti | Occupational Therapist | 4753 Wimbleton Way, Kalamazoo, MI 49009-2458 | 2016-08-06 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.