MRS. STEFANIE BREANNE WHALEN (NPI# 1063073005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063073005 |
| Entity Type | Individual |
| Full Name | MRS. STEFANIE BREANNE WHALEN |
| Credential | COTA/ T OT |
| Practice Address |
1348 Dixon Pkwy Chesterton IN 46304-9567 |
| Practice Telephone | 2197076511 |
| Mailing Telephone | 2197076511 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 32002593A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PRIVATE INSURANCE | 927215735 | 01 |
| Street Address |
1348 DIXON PKWY |
| City | CHESTERTON |
| State | IN |
| Zip Code | 46304-9567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
| 1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
| 1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
| 1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
| 1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
| Find all providers in zip 46304 | ||||
| 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 |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1235571035 | Alisa E Kilpatrick Small | Occupational Therapist | 428 S Jackson Blvd, Chesterton, IN 46304-2050 | 2013-07-22 |
| 1013129907 | Michelle Louise Kirkham | Occupational Therapist | 1131 Olivia Ct, Chesterton, IN 46304 | 2007-05-04 |
| 1548318686 | Jennette Lorene Marten | Occupational Therapist | 1524 Duffer Dr, Chesterton, IN 46304-8859 | 2007-01-08 |
| 1780299040 | Robin Wenzel | Occupational Therapist | 1120 S Calumet Rd Ste 3, Chesterton, IN 46304-3286 | 2020-09-14 |
| 1154953933 | Abby Lynn Detorrice | Occupational Therapist | 1120 S Calumet Rd Ste 3, Chesterton, IN 46304-3286 | 2020-02-10 |
| 1477184281 | Julia M Campbell | Occupational Therapist | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2020-01-30 |
| 1356995377 | Brittany Beatrice Miloian | Occupational Therapist | 1120 S Calumet Rd Ste 3, Chesterton, IN 46304-3286 | 2019-07-29 |
| 1497238414 | Laura Sokolowski | Occupational Therapist | 1595 S Calumet Rd, Chesterton, IN 46304-2388 | 2018-09-14 |
| 1548741150 | Rebecca Kadowaki | Occupational Therapist | 1595 S Calumet Rd, Chesterton, IN 46304-2388 | 2018-08-22 |
| Find all providers in CHESTERTON | ||||
| City | CHESTERTON |
| Zip Code | 46304 |
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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.