MRS. SAMANTHA LEIGH WAHLGREN (NPI# 1063941169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063941169 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA LEIGH WAHLGREN |
| Credential | MS, OTR/L |
| Practice Address |
3516 Waukegan Rd Mchenry IL 60050-5732 |
| Mailing Address |
226 Tomahawk Dr Twin Lakes WI 53181-9808 |
| Practice Telephone | 2626611535 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056010763 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3516 WAUKEGAN RD |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437439239 | Madonna Marie Broquet | Physical Therapy Assistant | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2011-08-24 |
| 1245704873 | Kathi Garrett Richardson | Physical Therapist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2019-01-16 |
| 1134542475 | Gabrielle Fisher | Occupational Therapist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2014-01-22 |
| 1124457601 | Marilyn Brastad | Physical Therapy Assistant | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2013-11-05 |
| 1891079844 | Maggie Kathleen Gates | Speech-Language Pathologist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1922644780 | Wendi Lary | Occupational Therapist | 3711 W Kane Ave, Mchenry, IL 60050-5524 | 2019-11-26 |
| 1750931648 | Alyssa Marie Clark | Occupational Therapist | 4605 W Crystal Lake Rd, Mchenry, IL 60050-5484 | 2019-09-13 |
| 1851898308 | Heidi Rechenberg | Occupational Therapist | 3300 Charles Miller Rd Apt 227, Mchenry, IL 60050-0714 | 2018-04-11 |
| 1154662377 | Teresa Wintersdorf | Occupational Therapist | 3212 W Lorient Dr, Mchenry, IL 60050-6115 | 2013-03-13 |
| 1659903680 | Masha Boyko Goode | Occupational Therapist | 3300 Charles Miller Rd, Mchenry, IL 60050-0710 | 2020-02-07 |
| 1740827625 | Haylie Rebilas | Occupational Therapist | 406 Front St Ste 110, Mchenry, IL 60050-5593 | 2019-12-10 |
| 1609263110 | Jill L Ritzman | Occupational Therapist | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2015-04-22 |
| 1134542475 | Gabrielle Fisher | Occupational Therapist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2014-01-22 |
| 1346592987 | Cassandra Ann Wanek | Occupational Therapist | 2507 N Richmond Rd, Mchenry, IL 60051-5407 | 2012-10-05 |
| 1710146436 | Kathleen Marie Braun | Occupational Therapist | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2008-06-06 |
| Find all providers in MCHENRY | ||||
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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.