MADISEN BLAIRE WIRTEL (NPI# 1053910463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053910463 |
| Entity Type | Individual |
| Full Name | MADISEN BLAIRE WIRTEL |
| Credential | COTA/L |
| Practice Address |
140 Cabarrus Ave W Concord NC 28025-5150 |
| Mailing Address |
195 Obrien Pl Sw Concord NC 28025-5673 |
| Practice Telephone | 7042396321 |
| Mailing Telephone | 7044677892 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 12646 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
140 CABARRUS AVE W |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497853980 | Stephanie Mcgowan Fish | Speech-Language Pathologist | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2006-09-20 |
| 1215551569 | Morgan Taylor Fisher | Speech-Language Pathologist | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2020-06-02 |
| 1023662053 | Carson Shae Barbee | Speech-Language Pathologist | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2019-07-29 |
| 1194379487 | Allison Nicole Lee | Occupational Therapy Assistant | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2019-07-25 |
| 1760034615 | Allison Weaver Waters | Speech-Language Pathologist | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2019-07-11 |
| 1699256313 | Rebekah L Riddle | Occupational Therapy Assistant | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2018-08-22 |
| 1841776382 | Sydney Paige Harness | Pharmacist | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2018-07-18 |
| 1457846677 | Rachel Ann Muolo | Occupational Therapy Assistant | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2018-06-29 |
| 1639663222 | Courtney Leonard | Occupational Therapy Assistant | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2018-06-18 |
| 1427409978 | Alternative Living Solutions of North Carolina | Counselor | 140 Cabarrus Ave W, Concord, NC 28025-5150 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760039309 | Laura Bradford | Occupational Therapy Assistant | 12428 Concord-hambden Road, Concord, OH 44077 | 2019-08-19 |
| 1013495035 | Kyndle Brooke Taylor | Occupational Therapy Assistant | 6522 Sanctuary Ridge Dr, Concord, NC 28025-8414 | 2018-08-01 |
| 1336626050 | Teresa Megan Wilhelm | Occupational Therapy Assistant | 363 Church St N Ste 260-e, Concord, NC 28025-4560 | 2018-07-25 |
| 1063957306 | Jennie Pugh | Occupational Therapy Assistant | 2300 Clayton Rd Suite 1170, Therapists Unlimited Genesis Healthcare Company, Concord, CA 94520 | 2016-12-22 |
| 1366802704 | Nicole Blackwell | Occupational Therapy Assistant | 815 Wentworth Dr Ne, Concord, NC 28025-7812 | 2016-02-27 |
| 1699147322 | Crystal P Smith | Occupational Therapy Assistant | 4217 Peppertree Ave, Concord, NC 28027-7670 | 2015-10-21 |
| 1356719447 | Ashlee Paschal | Occupational Therapy Assistant | 6 Wilfred Ave, Concord, NH 03301-2770 | 2015-09-08 |
| 1932575859 | Taylor Starnes | Occupational Therapy Assistant | 970 Hudwall Rd, Concord, NC 28025-6728 | 2015-08-14 |
| 1639556046 | Nichole Dennise Chaves | Occupational Therapy Assistant | 4181 Medford Dr Nw, Concord, NC 28027-4517 | 2015-05-05 |
| 1710375886 | Franklin Ray Morrison | Occupational Therapy Assistant | 4500 Shellflower Ct, Concord, CA 94518-1927 | 2014-12-24 |
| Find all providers in CONCORD | ||||
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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.