ELIZABETH M SLACK (NPI# 1164863296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164863296 |
| Entity Type | Individual |
| Full Name | ELIZABETH M SLACK |
| Practice Address |
1900 S Lachance Rd Lake City MI 49651-8022 |
| Practice Telephone | 2317753081 |
| Practice Fax Number | 2317757740 |
| Mailing Telephone | 2317753081 |
| Mailing Fax Number | 2317757740 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201006851 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477636587 | Elizabeth C Slack | Chiropractor | 285 Terrys Rd, Sayville, NY 11782-3343 | 2006-10-23 |
| 1528231206 | Elizabeth L Slack | Speech-Language Pathologist | 7490 156th St, Chippewa Falls, WI 54729-1425 | 2008-04-02 |
| Street Address |
1900 S LACHANCE RD |
| City | LAKE CITY |
| State | MI |
| Zip Code | 49651-8022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154428464 | James Eric Sendzik | Physical Therapist | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2006-09-20 |
| 1215498415 | Kimberly Sue Rodenbaugh | Massage Therapist | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2019-03-29 |
| 1730695651 | Leeann Marie Smith | Massage Therapist | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2017-12-15 |
| 1972016996 | Christin Marvin | Speech-Language Pathologist | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2017-11-13 |
| 1831625243 | Samantha Simonetti | Physical Therapist | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2017-05-04 |
| 1578009544 | Jacob Judson Morse | Physical Therapist | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2017-01-13 |
| 1548671324 | Stacy Rhoades | Recreation Therapist | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2014-05-14 |
| 1497176440 | Brenna Chapman | Music Therapist | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2013-12-18 |
| 1073859534 | Teresa Mae Shipton | Physical Therapy Assistant | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2013-01-02 |
| 1649516360 | Danay Marie Tossey | Physical Therapy Assistant | 1900 S Lachance Rd, Lake City, MI 49651-8022 | 2012-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463312 | Andrea Huxtable | Student in an Organized Health Care Education/Training Program | 1800-200 S Sweetbriar Ave, Lake City, MI 49651 | 2020-03-26 |
| 1316482300 | Suzanne Smith | Massage Therapist | 102 B S. Main St, Lake City, MI 49651 | 2016-12-29 |
| 1184960734 | Shanel Lynette Seger | Occupational Therapy Assistant | 1900 S Lachance Road, Lake City, MI 49651 | 2012-12-28 |
| 1265705347 | David Robert Kramp | Physical Therapist | 1900 South Lachance Rd, Lake City, MI 49651 | 2012-02-20 |
| 1396072708 | Footprints In Time | Voluntary or Charitable | 805 Mitchell St., Lake City, MI 49651 | 2009-11-05 |
| 1184895336 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1960 South Morey Road, Lake City, MI 49651 | 2008-03-17 |
| 1396965752 | Chris Klein Otr Plc | Occupational Therapist | 805 Mitchell St, Lake City, MI 49651 | 2007-04-26 |
| 1033253133 | John Street Clinic PC | Pediatrics | 112 E John St, Lake City, MI 49651 | 2007-02-20 |
| 1659435287 | Michael Francis Lahey | Dentist | 301 N Main, Lake City, MI 49651 | 2006-12-20 |
| 1215019781 | Christine Louise Klein | Occupational Therapist | 805 Mitchell, Lake City, MI 49651 | 2006-10-20 |
| Find all providers in zip 49651 | ||||
| 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 |
|---|---|---|---|---|
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1164763843 | Seema Kunder | Occupational Therapist | 659 Sw Dexter Cir, Apt 105, Lake City, FL 32025-5681 | 2013-03-06 |
| 1710256078 | Kaci J Roller | Occupational Therapist | 10757 W Rosted Rd, Lake City, MI 49651-8203 | 2011-12-15 |
| 1518236868 | Marianne Totton | Occupational Therapist | 5485 S Riverview Dr, Lake City, MI 49651-8656 | 2011-12-15 |
| 1902184468 | Amy Mccall | Occupational Therapist | 40 Godfrey Rd, Lake City, PA 16423-2108 | 2011-08-01 |
| 1568699056 | Hazel Shipman | Occupational Therapist | 318 B Moore Street, Lake City, SC 29560-2551 | 2009-06-11 |
| 1265603153 | Erin Lynn Hoeksema | Occupational Therapist | 451 Lakeside Dr, Lake City, PA 16423-1855 | 2008-03-18 |
| 1679756035 | Megan Markham Hansen | Occupational Therapist | 220 Se Park Ter, Lake City, FL 32025-4487 | 2007-12-07 |
| 1396965752 | Chris Klein Otr Plc | Occupational Therapist | 805 Mitchell St, Lake City, MI 49651 | 2007-04-26 |
| Find all providers in LAKE CITY | ||||
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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.