SHONTAE LATRICE MILLER


Address: 19733 Annchester Rd, Detroit, MI 48219-2191
Phone: 2482380426

SHONTAE LATRICE MILLER (NPI# 1235792490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235792490
Entity Type Individual
Full Name SHONTAE LATRICE MILLER
Practice Address 19733 Annchester Rd
Detroit
MI 48219-2191
Practice Telephone 2482380426
Mailing Telephone 2482380426
Enumeration Date 2019-04-15
Last Update Date 2019-04-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist 80381 Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 19733 ANNCHESTER RD
City DETROIT
State MI
Zip Code 48219-2191

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1891396008 Betty Jean Fairchild-el Home Health Aide 20018 Norhtrop, Detroit, MI 48219 2020-11-04
1134787633 Behavioral Health Professionals, Inc Family Medicine 19750 Burt Road, Detroit, MI 48219 2019-05-31
1255997755 Shvaughn Laniece Nunley Social Worker 18422 W Mcnichols Rd, Detroit, MI 48219 2019-05-10
1770081168 D & D Enterprise Group LLC Durable Medical Equipment & Medical Supplies 17405 Lahser, 202, Detroit, MI 48219 2018-01-31
1972011369 Fibers of The Family LLC Home Health 16800 Edinborough Rd, Detroit, MI 48219 2018-01-19
1871049684 Monique Jackson Occupational Therapist 21630 Jessel Ave, Detroit, MI 48219 2016-08-31
1114379773 Audrey Hopkins Licensed Practical Nurse 20277 Redfren, Detroit, MI 48219 2016-07-07
1649628785 Erin Bianco Social Worker 17321 Telegraph Rd., Detroit, MI 48219 2016-05-31
1144674664 Lucinda Galmon-wallace Technician, Other 24424 Telegraph Road, Detroit, MI 48219 2016-04-21
1598120925 Faith's Place LLC Psychiatric Residential Treatment Facility 16725 Blackstone Street, Detroit, MI 48219 2015-12-30
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Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437396819 Brandon Clinton Allen Recreation Therapist 12091 Sorrento St, Detroit, MI 48227-3751 2009-01-07
1255430674 Silva A. Karapetian Recreation Therapist John D. Dingell Va Medical Center, 4646 John R. St, 553/11g-pm, Detroit, MI 48201 2006-09-22
1295202224 Angela Elizabeth Scarponi Recreation Therapist 2925 Russell St, Detroit, MI 48207-4825 2018-10-29
1013491273 Bridget Myke Recreation Therapist 2925 Russell St, Detroit, MI 48207-4825 2018-09-23
1689835126 Marvin John Theile Recreation Therapist 4646 John R St, Detroit, MI 48201-1916 2008-06-18
1558400846 Hollie Gilmore Recreation Therapist 15000 Gratiot Ave, Detroit, MI 48205-1973 2007-02-05
1508915505 Starr Rebecca Caruthers Recreation Therapist 15000 Gratiot Ave, Detroit, MI 48205-1973 2007-01-09
1669521613 Carrie Elaine Nance Recreation Therapist 15000 Gratiot Ave, Detroit, MI 48205-1973 2007-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861006728 Tara Ann Fedewa Recreation Therapist 915 Laurelwood Dr, Lansing, MI 48917-7725 2020-09-08
1225651714 Caroline Rose Marcon Recreation Therapist 15227 Payne Ct, Dearborn, MI 48126-3030 2020-05-19
1205469897 Megan Groat Recreation Therapist 914 Lake Dr, Oxford, MI 48371-5716 2020-02-21
1215560040 Ashley Melyn Phelps Recreation Therapist 6714 Northland Dr Ne, Rockford, MI 49341-9201 2020-02-20
1538708680 Caylie Hosey Recreation Therapist 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 2020-01-06
1205480472 Keilahna Castillo Recreation Therapist 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 2019-07-26
1134789514 Cynthia Guzi Recreation Therapist 4469 Lutz Dr, Warren, MI 48092-1750 2019-06-18
1780244160 Derenda Lefevre Recreation Therapist 3724 Noble Rd, Oxford, MI 48370-1514 2019-06-18
1407416886 Jenna Black Recreation Therapist 28328 N Skye Dr, Farmington Hills, MI 48334-5335 2019-06-18
1225698608 Carly Jane Rhodea Recreation Therapist 6906 Severance Rd, Cass City, MI 48726-9202 2019-06-18
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Competitor

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City DETROIT
Zip Code 48219

Improve Information

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Dataset Information

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.

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