CORTNEY CARLISLE (NPI# 1114343068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114343068 |
| Entity Type | Individual |
| Full Name | CORTNEY CARLISLE |
| Practice Address |
9809 Cherry Valley Ave Se Ste D Caledonia MI 49316-9592 |
| Mailing Address |
1460 Hidden Creek Circle Dr Ne Apt C Grand Rapids MI 49505-5472 |
| Practice Telephone | 2692237786 |
| Mailing Telephone | 2189299595 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201010171 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 4261 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29 N Academy St, Greenville, SC 296012629 | 8643311446 |
| Street Address |
9809 CHERRY VALLEY AVE SE STE D |
| City | CALEDONIA |
| State | MI |
| Zip Code | 49316-9592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407326036 | Daina Elizabeth Graves | Occupational Therapist | 10560 Whispering Waters Ln Se, Caledonia, MI 49316 | 2018-11-27 |
| 1033619135 | Spectrum Health Primary Care Partners | Physical Therapist | 6201 68th St Se, Caledonia, MI 49316 | 2018-02-15 |
| 1538672035 | Justin Michael Keely | Student in an Organized Health Care Education/Training Program | 8441 Sunnyview Rd., Caledonia, MI 49316 | 2017-11-07 |
| 1457614521 | Rahaf Halimeh | Dentist | 3625 Riverbed Lane Se, #3, Caledonia, MI 49316 | 2012-06-22 |
| 1487913158 | Adam Zachary Mitchell | Family Medicine | 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316 | 2012-05-15 |
| 1841588522 | Oday Ali Kasim | Pharmacist | 9375 Cherry Valley Ave., Caledonia, MI 49316 | 2011-07-15 |
| 1417183344 | Allison Leigh Ford | Physical Therapist | 10047 Cross Road Ct. Se, Suite 150, Caledonia, MI 49316 | 2009-06-05 |
| 1336351741 | Paula Delorm | Physical Therapist | 6595 Gracepoint Dr. Se, Caledonia, MI 49316 | 2007-05-06 |
| 1366532798 | Wayne D Westbrook | Dentist | 3125 68th St Se, Dutton, MI 49316 | 2006-10-14 |
| 1629184056 | Patricia Brunck Cassell | Social Worker | 9090 Sourth Rodgers Court Se, Caledonia, MI 49316 | 2006-08-21 |
| Find all providers in zip 49316 | ||||
| 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 |
|---|---|---|---|---|
| 1407326036 | Daina Elizabeth Graves | Occupational Therapist | 10560 Whispering Waters Ln Se, Caledonia, MI 49316 | 2018-11-27 |
| 1043562978 | Diana Lynn Langdon | Occupational Therapist | 9071 Glengarry Ct Se, Caledonia, MI 49316-8249 | 2012-10-02 |
| 1770872459 | Misty S Glasgow | Occupational Therapist | 989 Flint Hill Rd, Caledonia, MS 39740-9026 | 2011-04-01 |
| 1962636837 | David Jack Pieters | Occupational Therapist | 7686 Breton Ave Se, Caledonia, MI 49316-9124 | 2009-05-07 |
| 1184884686 | Holly Ann Bjorge | Occupational Therapist | 4717 W 6 1/2 Mile Rd, Caledonia, WI 53108-9726 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759065 | Jennifer Willoughby Vogtmann | Occupational Therapist | 22400 Hoffman St, Saint Clair Shores, MI 48082-1721 | 2020-11-01 |
| 1740889146 | Samaah Abboud Khanafer | Occupational Therapist | 1036 N Denwood St, Dearborn, MI 48128-1569 | 2020-10-19 |
| 1912505322 | Legacy Healhcare Services, Inc. | Occupational Therapist | 42400 W 12 Mile Rd, Novi, MI 48377-3027 | 2020-10-16 |
| 1649878588 | Outside Ot L.L.C. | Occupational Therapist | 63999 Indian Trl, Ray, MI 48096-2516 | 2020-10-13 |
| 1023616216 | Elizabeth Trueblood | Occupational Therapist | 5664 Teton Trl, White Lake, MI 48383-4017 | 2020-10-12 |
| 1518564889 | Kristin Noel Hungerford | Occupational Therapist | 5103 W Pierson Rd Ste 3, Flint, MI 48504-1395 | 2020-10-08 |
| 1356948491 | Brittany N Nantais | Occupational Therapist | 48207 Lincoln Dr, Macomb, MI 48044-5013 | 2020-10-01 |
| 1578179065 | Mackenzie Gravelyn | Occupational Therapist | 10881 Marsh Ave, Allendale, MI 49401-9808 | 2020-09-20 |
| 1952913667 | Amber Lyn Hatcher | Occupational Therapist | 2682 Miller Rd, Tawas City, MI 48763-8619 | 2020-08-24 |
| 1639789092 | Matthew Horne | Occupational Therapist | 4356 Elizabeth St, Wayne, MI 48184-2154 | 2020-07-31 |
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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.