GREAT LAKES HEALTHCARE, INC. (NPI# 1184282618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184282618 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES HEALTHCARE, INC. |
| Other Organization Name | PRECEPTOR THERAPY |
| Practice Address |
W175n11117 Stonewood Dr Ste 100 Germantown WI 53022-6505 |
| Practice Telephone | 2084011369 |
| Mailing Telephone | 2622933951 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | LEE JOHNSON (TREASURER) |
| Authorized Official Telephone | 2084011369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Preceptor Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619532132 | Great Lakes Healthcare, Inc. | Hospice Care, Community Based | W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022 | 2019-05-09 |
| 1255996740 | Great Lakes Healthcare, Inc. | Home Health | W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022 | 2019-05-09 |
| 1225482557 | Great Lakes Healthcare, Inc. | Chiropractor | 3033 Marina Bay Dr, Suite 200, League City, TX 77573-3984 | 2016-04-23 |
| Street Address |
W175N11117 STONEWOOD DR STE 100 |
| City | GERMANTOWN |
| State | WI |
| Zip Code | 53022-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609195239 | Easy Living Home Health Care Agency, Inc. | Home Health | W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022-6505 | 2010-05-21 |
| 1588297188 | Nicole Weggen | Occupational Therapist | W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022-6505 | 2020-02-21 |
| 1619532132 | Great Lakes Healthcare, Inc. | Hospice Care, Community Based | W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022 | 2019-05-09 |
| 1255996740 | Great Lakes Healthcare, Inc. | Home Health | W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022 | 2019-05-09 |
| 1568953701 | Chantelle M Toth | Speech-Language Pathologist | W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022-6505 | 2018-05-23 |
| 1679080725 | Sarah Ann Geerts | Occupational Therapist | W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022-6505 | 2018-01-10 |
| 1205341294 | Lisa Jane Vanderzanden | Occupational Therapist | W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022-6505 | 2017-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669407 | Margaret Jo Mulder | Chiropractor | W164 N11269 Squire Drive Suite B, Germantown, WI 53022 | 2018-11-27 |
| 1316441579 | Community Home Care Services | Home Health | N112 W16298 Mequon Rd, 127, Germantown, WI 53022 | 2018-03-22 |
| 1811426224 | Wi-care LLC | In Home Supportive Care | W175n11163 Stonewood Drive Ste 220, Germantown, WI 53022 | 2017-06-08 |
| 1134675358 | Kojo Bempong | Anesthesiologist Assistant | Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 | 2016-08-28 |
| 1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
| 1134535735 | Erin Therese Grueneberg | Nurse Practitioner | W153 N9990 Neptune Drive, Germantown, WI 53022 | 2014-07-03 |
| 1306286836 | Kyle W Mcmahon | Occupational Therapist | W175 N1117 Stonewood Drive, Suite 100, Germantown, Wi, WI 53022 | 2013-06-28 |
| 1326354713 | Brittany Skogg | Physical Therapist | W175 W11117 Stonewood Dr., Suite 100, Germantown, WI 53022 | 2010-08-24 |
| 1669635066 | Joseph D Deguzman Dds Ms Sc | Clinic/Center | W172 N9723 Division Road, Suite A, Germantown, WI 53022 | 2008-07-07 |
| 1457513988 | Rustin A. West | Dentist | W172 N9723 Division Road Suite A, Germantown, WI 53022 | 2008-06-26 |
| Find all providers in zip 53022 | ||||
| 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 |
|---|---|---|---|---|
| 1336766039 | Andrew Boyd Hamrick | Occupational Therapist | 8040 Wolf River Blvd Ste 102, Germantown, TN 38138-1773 | 2020-06-29 |
| 1154940773 | Audrey Owens | Occupational Therapist | 2164 Night Shade Dr, Germantown, TN 38139-5318 | 2020-04-14 |
| 1750922316 | Patrick Cardosi | Occupational Therapist | 9070 Grovelawn Cv E, Germantown, TN 38139-5679 | 2019-10-04 |
| 1578090528 | Carol Chan | Occupational Therapist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2017-05-20 |
| 1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
| 1346518768 | Leslie Rebecca Tompkins | Occupational Therapist | 181 Mill Road, Germantown, NY 12526 | 2011-12-13 |
| 1730462516 | Nimisha Shah Clawson | Occupational Therapist | 7480 Willey Rd, Germantown, TN 38138-2818 | 2011-09-27 |
| 1134457427 | Rose Bavlnka | Occupational Therapist | W202n10223 Lannon Rd, Germantown, WI 53022-9545 | 2009-11-24 |
| 1992946453 | Joan B Devlin | Occupational Therapist | W173n10915 Bernie's Way, Germantown, WI 53022-4043 | 2009-03-13 |
| 1891952628 | Ayanna Hill | Occupational Therapist | 18938 Moonwalk Ct, Germantown, MD 20874-6119 | 2008-05-20 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 53022 |
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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.