MICHELLE GRODE (NPI# 1063644581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063644581 |
| Entity Type | Individual |
| Full Name | MICHELLE GRODE |
| Credential | MS, OTR/L |
| Practice Address |
2200 Havasupai Blvd Lake Havasu City AZ 86403-3122 |
| Mailing Address |
837 N Columbia Dr Sioux Falls SD 57103-6606 |
| Practice Telephone | 6053668790 |
| Mailing Telephone | 6053668790 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2010-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0784 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 056.008353 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 4391 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2200 HAVASUPAI BLVD |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790879864 | Lake Havasu Unified School District #1 | Local Education Agency (LEA) | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2006-10-03 |
| 1164047783 | Enduren Ortiz Napuli | Speech-Language Pathologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2020-06-09 |
| 1588198345 | Carissa Farrington | Specialist/Technologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2017-04-18 |
| 1013454107 | Erin Riggert | Specialist/Technologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2017-01-26 |
| 1649603556 | Jessica Anne Stello | Specialist/Technologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2013-08-14 |
| 1558617266 | Shaina Geisler | Occupational Therapist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2012-07-31 |
| 1184906539 | Virginia M. Tate | Speech-Language Pathologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2011-09-12 |
| 1043591191 | Terri Gulembo-plato | Speech-Language Pathologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2011-09-02 |
| 1013218114 | Laurie M Bevans | Registered Nurse | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2010-11-05 |
| 1013224773 | Tracy Joy Cutrone | Speech-Language Pathologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2010-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| 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 |
|---|---|---|---|---|
| 1093181968 | Chelsea Bailey | Occupational Therapist | 1515 N. Lake Havasu Avenue, Suite #100, Lake Havasu City, AZ 86404 | 2015-08-14 |
| 1518361195 | Steven Elzinga | Occupational Therapist | 1515 Lake Havasu Ave N, Suite #100, Lake Havasu City, AZ 86404-1177 | 2014-10-10 |
| 1467519512 | Catherine Evelyn Sondrol | Occupational Therapist | 3588 Tarpon Dr, Lake Havasu City, AZ 86406-4223 | 2007-01-01 |
| 1629146394 | Stephanie Lynn Kent | Occupational Therapist | 2200 Havasupai Boulevard, Lake Havasu City, AZ 86403 | 2006-12-01 |
| 1669025391 | Erin Lindsay Magee | Occupational Therapist | 2781 Osborn Dr, Lake Havasu City, AZ 86406-8629 | 2019-07-22 |
| 1558617266 | Shaina Geisler | Occupational Therapist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2012-07-31 |
| 1144539016 | Cheryl M Kingsbury | Occupational Therapist | 1791 Mesquite Ave, Lake Havasu City, AZ 86403-5648 | 2010-09-27 |
| 1790980407 | Tod Dempsey Keam | Occupational Therapist | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2007-06-21 |
| 1649343542 | Jill Darlene Gilbank | Occupational Therapist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3798 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1699382499 | Alexandra Contreras | Occupational Therapist | 123 W South Mountain Ave, Phoenix, AZ 85041-8102 | 2020-09-25 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1346856044 | Jayne Louise Lancaster-fisher | Occupational Therapist | 1105 N Delmar, Mesa, AZ 85203-5003 | 2020-09-17 |
| 1295340214 | Rebecca Lange | Occupational Therapist | 9638 W Butler Dr, Peoria, AZ 85345-7711 | 2020-09-15 |
| 1780299958 | Carly Jo Glazier-kersavage | Occupational Therapist | 4225 E Mcdowell Rd Apt 2093, Phoenix, AZ 85008-7472 | 2020-09-14 |
| 1558976159 | Michelle Cerda | Occupational Therapist | 27546 W Tonopah Dr, Buckeye, AZ 85396-2008 | 2020-09-10 |
| 1437763513 | Shannon Siemsen | Occupational Therapist | 3011 N 26th St, Phoenix, AZ 85016-7921 | 2020-09-04 |
| 1215540513 | Elissa Marie Leyvas Van Horn | Occupational Therapist | 3237 E Maldonado Dr, Phoenix, AZ 85042-6115 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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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.