MAUREEN H MORDICK


Address: 640 Jackson St, Mailstop 11102d, Saint Paul, MN 55101-2502
Phone: 6512545540

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist 28403 Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NCTRC 28403 01

Office Location

Street Address 640 JACKSON ST
MAILSTOP 11102D
City SAINT PAUL
State MN
Zip Code 55101-2502

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
Find all providers in zip 55101

Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316161300 Krista Ash Recreation Therapist 200 University Ave E, Saint Paul, MN 55101-2507 2007-04-12

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAINT PAUL
Zip Code 55101

Improve Information

Please comment or provide details below to improve the information on MAUREEN H MORDICK.

Dataset Information

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.

Trending Searches