LIFE SKILLS REHABILITATION (NPI# 1225465396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225465396 |
| Entity Type | Organization |
| Organization Name | LIFE SKILLS REHABILITATION |
| Practice Address |
3604 Clarkston Rd Clarkston MI 48348-5215 |
| Practice Telephone | 2488149300 |
| Practice Fax Number | 2488140361 |
| Mailing Telephone | 2488149300 |
| Mailing Fax Number | 2488140361 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | DEBORAH DALTON (OWNER) |
| Authorized Official Telephone | 2488149300 |
| Authorized Official Credential | OTRL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201004452 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3604 CLARKSTON RD |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48348-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548569049 | Adam R Pasciak | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2011-03-23 |
| 1699380469 | Deanna Martens | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2020-09-09 |
| 1699251769 | Allen Shamow | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2018-07-12 |
| 1083125017 | Elizabeth Therese Kreager | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2017-10-17 |
| 1851826879 | Maria E Summerford | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2017-04-27 |
| 1841672987 | Karyn Skiba | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348 | 2015-06-25 |
| 1255759486 | Lake Orion Counseling Center | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2014-04-04 |
| 1184045676 | Tiffany Marie Laporte | Student in an Organized Health Care Education/Training Program | 3604 Clarkston Rd, Suite 102, Clarkston, MI 48348-5215 | 2013-12-30 |
| 1821337635 | Denise Fanny Banyai | Counselor | 3604 Clarkston Rd, Suite 102, Clarkston, MI 48348-5215 | 2013-02-14 |
| 1801161286 | Kristen Kay Bernat | Counselor | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2012-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
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| 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 |
|---|---|---|---|---|
| 1194290023 | Justine Noel Bolten | Occupational Therapist | 9252 Evee Rd, Clarkston, MI 48348-3010 | 2018-10-08 |
| 1871080838 | Emily Koenigbauer | Occupational Therapist | 7822 Andersonville Rd, Clarkston, MI 48346-2573 | 2018-04-16 |
| 1598268385 | James Edward Holtslag | Occupational Therapist | 5342 Heath Ave, Clarkston, MI 48346-3533 | 2018-03-17 |
| 1750798443 | Courtnie Anne Sinclair-baker | Occupational Therapist | 40 Buffalo St, Clarkston, MI 48346-2102 | 2014-07-15 |
| 1801209739 | Jodi L. Poljack | Occupational Therapist | 5828 N Marsh Bank Ln, Apt. 101, Clarkston, MI 48346-4700 | 2014-06-09 |
| 1588955322 | Puja Borso | Occupational Therapist | 2995 Weidemann Dr, Clarkston, MI 48348-1249 | 2011-04-27 |
| 1700191079 | Timothy J Gundy | Occupational Therapist | 3608 Masters Dr, Clarkston, WA 99403-1725 | 2010-08-11 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1184823262 | Wynnet Sinclair | Occupational Therapist | 8065 Woodview Drive, Clarkston, MI 48348-4059 | 2007-07-17 |
| 1720159460 | Colleen Marie Pascoe | Occupational Therapist | 6300 Sashabaw Rd Ste D, Clarkston, MI 48346-2269 | 2006-11-13 |
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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.