MR. BRANDON MICHAEL HOENICKE (NPI# 1235640939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235640939 |
| Entity Type | Individual |
| Full Name | MR. BRANDON MICHAEL HOENICKE |
| Credential | CTRS |
| Practice Address |
35514 Indigo Dr Sterling Heights MI 48310-4946 |
| Mailing Address |
128 Church St Romeo MI 48065-4605 |
| Practice Telephone | 5862122671 |
| Mailing Telephone | 5862433132 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 65749 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
35514 INDIGO DR |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497880298 | Mary Elizabeth Nagy | Specialist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2007-02-22 |
| 1891263893 | Amber Nicole Parrish | Recreation Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2018-11-07 |
| 1114428208 | Emily Jane Goldston | Recreation Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2018-02-23 |
| 1144735101 | Kimberly T Sloan | Massage Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2017-12-12 |
| 1205351467 | Saniqua Daniels | Massage Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2017-08-09 |
| 1023557410 | Joshua Valley | Recreation Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310 | 2017-02-17 |
| 1053859165 | Nicole Studebaker | Specialist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2017-02-09 |
| 1801349188 | Melissa Beemer | Recreation Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2016-08-03 |
| 1407309016 | Shannon Lambert | Specialist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2016-07-31 |
| 1780030379 | Kayla Rezmer | Recreation Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2016-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| Find all providers in zip 48310 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790162006 | Katelin Moran | Recreation Therapist | 335514 Indigo Dr, Sterling Heights, MI 48310 | 2015-05-06 |
| 1760874291 | Brianna Kozel | Recreation Therapist | 33514 Indigo Dr., Sterling Heights, MI 48310 | 2015-02-20 |
| 1013257591 | Ashley Thompson | Recreation Therapist | 33514 Indigo Drive, Sterling Heights, MI 48310 | 2013-02-21 |
| 1699010462 | Stephanie Hennard | Recreation Therapist | 40002 Eagle Dr, Sterling Heights, MI 48310-1920 | 2012-12-05 |
| 1144458001 | Ashley Christin Kalmar | Recreation Therapist | 35524 Indigo, Sterling Heights, MI 48310 | 2009-06-30 |
| 1942852033 | Jessica Helen-marie Brown | Recreation Therapist | 39393 Van Dyke Ave Ste 105, Sterling Heights, MI 48313-4636 | 2019-07-10 |
| 1790341469 | Jordan Elizabeth Howard | Recreation Therapist | 39393 Van Dyke Ave, Sterling Heights, MI 48313-4635 | 2019-05-17 |
| 1891263893 | Amber Nicole Parrish | Recreation Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2018-11-07 |
| 1114428208 | Emily Jane Goldston | Recreation Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2018-02-23 |
| 1023557410 | Joshua Valley | Recreation Therapist | 35514 Indigo Dr, Sterling Heights, MI 48310 | 2017-02-17 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
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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.