MARY ANN MIJANOVICH (NPI# 1114189339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114189339 |
| Entity Type | Individual |
| Full Name | MARY ANN MIJANOVICH |
| Practice Address |
1850 Se Crescent Dr Shelton WA 98584-8670 |
| Mailing Address |
2430 N 13th St Shelton WA 98584-1213 |
| Practice Telephone | 3608682024 |
| Mailing Telephone | 3604261651 |
| Mailing Fax Number | 3604264680 |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2008-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT00001926 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1850 SE CRESCENT DR |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-8670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| 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 |
|---|---|---|---|---|
| 1447738984 | Amylynne Sargent | Occupational Therapist | 700 E Jared Rd, Shelton, WA 98584-7060 | 2018-08-06 |
| 1184127482 | Emily Terese Mengle | Occupational Therapist | 708a Bridgeport Ave, Shelton, CT 06484-4719 | 2018-03-13 |
| 1215325329 | Barbara Joanna Belicia | Occupational Therapist | 1000 Bridgeport Ave Fl 3, Shelton, CT 06484-4660 | 2014-12-26 |
| 1952708513 | Meghan Fera | Occupational Therapist | 7 Barbara Dr, Shelton, CT 06484-4201 | 2014-11-25 |
| 1518360742 | Wilbur Jagoriles Perono | Occupational Therapist | 99 Richard Blvd, Shelton, CT 06484-4387 | 2014-10-02 |
| 1275961047 | Julie E Macdonald | Occupational Therapist | 611 E Agate Rd, Shelton, WA 98584-7306 | 2013-10-14 |
| 1811254519 | Naomi Elizabeth Mork | Occupational Therapist | 112 E Spencer Lake Rd, Shelton, WA 98584-7307 | 2012-04-19 |
| 1922314715 | Amanda Buono | Occupational Therapist | 580 Long Hill Avenue, Shelton, CT 06484 | 2010-08-31 |
| 1801082326 | Carol Stormer | Occupational Therapist | 153 Johns Ct Ste 220, Shelton, WA 98584-8225 | 2007-09-18 |
| 1427129683 | Marjorie Steed | Occupational Therapist | 901 Mountain View Dr Bldg 1, Shelton, WA 98584-4401 | 2006-11-10 |
| Find all providers in SHELTON | ||||
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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.