MRS. SARA POLETTI STABENOW (NPI# 1104441682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104441682 |
| Entity Type | Individual |
| Full Name | MRS. SARA POLETTI STABENOW |
| Other Name | SARA ANN POLETTI |
| Credential | OTR/L |
| Practice Address |
60 E Vernon Ave Phoenix AZ 85004-1337 |
| Mailing Address |
Po Box 25104 Phoenix AZ 85002-5104 |
| Practice Telephone | 6023803377 |
| Mailing Telephone | 6023803377 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 056013449 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 2020000630 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | OTH008096 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
60 E VERNON AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134119365 | Arcadia Therapy Services of Arizona, Inc. | Home Health | 60 E Vernon Ave, Phoenix, AZ 85004-1337 | 2005-10-27 |
| 1245849686 | Paulina Calli | Occupational Therapist | 60 E Vernon Ave, Phoenix, AZ 85004-1337 | 2020-07-30 |
| 1821606336 | Brenna Therese Lawler | Occupational Therapist | 60 E Vernon Ave, Phoenix, AZ 85004-1337 | 2020-07-21 |
| 1437661832 | Daniela Brazovan | Occupational Therapy Assistant | 60 E Vernon Ave, Phoenix, AZ 85004-1337 | 2017-10-26 |
| 1639579725 | Peggy Mccahan | Occupational Therapy Assistant | 60 E Vernon Ave, Phoenix, AZ 85004-1337 | 2014-08-26 |
| 1831462209 | Joanne P Wood | Occupational Therapy Assistant | 60 E Vernon Ave, Phoenix, AZ 85004-1337 | 2012-02-16 |
| 1396027512 | Catherine Marie Cunningham | Specialist/Technologist | 60 E Vernon Ave, Phoenix, AZ 85004-1337 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1780299958 | Carly Jo Glazier-kersavage | Occupational Therapist | 4225 E Mcdowell Rd Apt 2093, Phoenix, AZ 85008-7472 | 2020-09-14 |
| 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 |
| 1679186399 | Rachel Grace Mahon | Occupational Therapist | 15215 S 48th St Ste 145, Phoenix, AZ 85044-9138 | 2020-08-24 |
| 1396384061 | The Little Foundation, LLC | Occupational Therapist | 2745 W Charleston Ave, Phoenix, AZ 85053-1719 | 2019-12-30 |
| 1871132530 | Kristi Sobeck | Occupational Therapist | Synertx Rehab, 7540 N 19th Ave Ste 200, Phoenix, AZ 85021-7967 | 2019-12-29 |
| 1023656196 | Matthew Figgins | Occupational Therapist | 15215 S 48th St Unit 145, Phoenix, AZ 85044-9142 | 2019-12-19 |
| 1366089096 | Kyle Bradley Burklund | Occupational Therapist | 6550 W Andrea Dr, Phoenix, AZ 85083-6518 | 2019-12-02 |
| Find all providers in PHOENIX | ||||
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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.