MAUREEN H MORDICK (NPI# 1134492010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134492010 |
Entity Type | Individual |
Full Name | MAUREEN H MORDICK |
Credential | CTRS |
Practice Address |
640 Jackson St Mailstop 11102d Saint Paul MN 55101-2502 |
Practice Telephone | 6512545540 |
Mailing Telephone | 6512545540 |
Enumeration Date | 2012-02-22 |
Last Update Date | 2012-02-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | 28403 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCTRC | 28403 | 01 |
Street Address |
640 JACKSON ST MAILSTOP 11102D |
City | SAINT PAUL |
State | MN |
Zip Code | 55101-2502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780686378 | Margaret Radermacher Schnobrich | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2005-08-12 |
1013518174 | Katara Jo Henderson | Student in an Organized Health Care Education/Training Program | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-11-05 |
1013516087 | Marit Sonnesyn | Physician Assistant | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-21 |
1114526027 | Carolyn Besch | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-21 |
1952908576 | Mckenna Rebecca Splett | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-06 |
1164029997 | Alyssa Jean Cutcher | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-05 |
1851998884 | Danielle Chirhart | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-02 |
1174130389 | Frederick Schaefer Jr. | Speech-Language Pathologist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-30 |
1538775853 | Rebeca Joy Houle | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-22 |
1134733702 | Nicholas Honda | Pharmacist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
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Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316161300 | Krista Ash | Recreation Therapist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952645749 | Randy Lynn Steffen | Recreation Therapist | 4806 Swan Lake Rd, Duluth, MN 55811-1532 | 2012-11-16 |
1154448306 | Twyla Marie Misselhorn | Recreation Therapist | 4243 Queen Ave N, Minneapolis, MN 55412-1543 | 2007-03-23 |
1225637713 | Jedidiah Cates | Recreation Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-26 |
1346511847 | Emily Anne Buell | Recreation Therapist | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2012-01-16 |
1235377730 | Krista R Dotseth | Recreation Therapist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2009-01-22 |
1841436250 | Paige Renee Safranski | Recreation Therapist | 800 E 28th Street, Mail Route 12213, Minneapolis, MN 55407 | 2009-01-07 |
1467617415 | Emily Schwartz | Recreation Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2008-07-18 |
1548484470 | Susan M Ryan | Recreation Therapist | 1216 2nd St Sw, Generose Bldg. 3 410, Rochester, MN 55902-1906 | 2007-04-12 |
1003931270 | James Paul Verbout | Recreation Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-03-20 |
1043301658 | Patrick Dean Claflin | Recreation Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-27 |
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City | SAINT PAUL |
Zip Code | 55101 |
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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.