ASPIRUS KEWEENAW (NPI# 1205164555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205164555 |
| Entity Type | Organization |
| Organization Name | ASPIRUS KEWEENAW |
| Other Organization Name | ASPIRUS KEWEENAW OUTPATIENT THERAPIES |
| Practice Address |
1000 Cedar Street Houghton MI 49931-2801 |
| Mailing Address |
205 Osceola Street Laurium MI 49913-2134 |
| Practice Telephone | 9064828201 |
| Practice Fax Number | 9064822771 |
| Mailing Telephone | 9063376591 |
| Mailing Fax Number | 9063376597 |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | SHANE M JACQUES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9063376090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 310021 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | 310021 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Aspirus Keweenaw Outpatient Therapies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508001629 | Aspirus Keweenaw | General Practice | 900 Memorial Drive, Houghton, MI 49931 | 2008-12-03 |
| 1649320524 | Aspirus Keweenaw | Clinic/Center | 110 Calumet Street, Lake Linden, MI 49945-1308 | 2007-01-11 |
| 1609811058 | Aspirus Keweenaw | Family Medicine | 301 West Lakeshore Drive, Houghton, MI 49931-2200 | 2006-06-19 |
| 1821497579 | Aspirus Keweenaw | Ophthalmology | 404 W Sharon Ave, Houghton, MI 49931-1980 | 2014-08-19 |
| 1790127454 | Aspirus Keweenaw | Orthopaedic Surgery | 205 Osceola St, Laurium, MI 49913-2134 | 2013-07-23 |
| 1831444744 | Aspirus Keweenaw | General Practice | 205 Osceola St, Laurium, MI 49913-2134 | 2012-07-17 |
| 1750654661 | Aspirus Keweenaw | Clinic/Center | 300 Hecla St, Laurium, MI 49913-2128 | 2012-02-23 |
| 1215092572 | Aspirus Keweenaw | Clinic/Center | 1000 Cedar St, Houghton, MI 49931-1978 | 2006-12-27 |
| 1205998713 | Aspirus Keweenaw | Clinic/Center | 205 Osceola Street, Laurium, MI 49913-2134 | 2006-12-14 |
| 1154480044 | Aspirus Keweenaw | Medicare Defined Swing Bed Unit | 205 Osceola Street, Laurium, MI 49913-2134 | 2006-12-06 |
| Street Address |
1000 CEDAR STREET |
| City | HOUGHTON |
| State | MI |
| Zip Code | 49931-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962053447 | Meghan Lawler Immel | Counselor | 47431 St. Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-09-25 |
| 1205495710 | Public Counseling Services, LLC | Counselor | 47431 Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-06-08 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1487150165 | Taylor Lee Douglas | Optometrist | 900 W Mem Dr, Houghton, MI 49931 | 2018-04-02 |
| 1033640867 | Larry Binoniemi | Pharmacist | 995 Razoback Dr, Houghton, MI 49931 | 2017-03-23 |
| 1013247972 | Portage Health Inc | General Practice | 921 W Sharon Ave., Houghton, MI 49931 | 2009-12-28 |
| 1508001629 | Aspirus Keweenaw | General Practice | 900 Memorial Drive, Houghton, MI 49931 | 2008-12-03 |
| 1306027057 | Gary Kilpela | Psychologist | 301 West Lake Ave., Suite 2, Houghton, MI 49931 | 2007-11-23 |
| 1811186455 | Baraga-houghton-keweenaw Child Development Board | Public Health or Welfare | 700 Park Avenue, Houghton, MI 49931 | 2007-10-19 |
| 1922294107 | Diane Sue Johnson | Registered Nurse | 901 West Memorial Drive, Houghton, MI 49931 | 2007-09-20 |
| Find all providers in zip 49931 | ||||
| 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 |
|---|---|---|---|---|
| 1003177403 | Gail Ann Neufeld | Occupational Therapist | 850 W Sharon Ave Ste 6, Houghton, MI 49931-1968 | 2012-06-01 |
| 1558713891 | Jessica L Harju | Occupational Therapist | 1000 Cedar St, Houghton, MI 49931-1978 | 2016-07-11 |
| 1023450350 | Jonathan Packham | Occupational Therapist | 901 W Mem Dr, Houghton, MI 49931-2475 | 2013-07-29 |
| 1386918480 | William Wertenberger | Occupational Therapist | 901 W Mem Dr, Houghton, MI 49931-2475 | 2012-03-07 |
| 1437488079 | Beth A Mull | Occupational Therapist | 960 Razorback Dr, Suite 3, Houghton, MI 49931-2830 | 2009-12-10 |
| 1821326174 | Sharon A Fisher | Occupational Therapist | 1000 Cedar St, Houghton, MI 49931-1978 | 2009-11-25 |
| 1811225170 | Tiffany Paavola | Occupational Therapist | 960 Razorback Dr, Suite 3, Houghton, MI 49931-2830 | 2009-11-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.