MS. ANDREA RAE WEDGE (NPI# 1275778672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275778672 |
| Entity Type | Individual |
| Full Name | MS. ANDREA RAE WEDGE |
| Other Name | ANDREA RAE MONROE |
| Credential | C.T.R.S. |
| Practice Address |
6257 Robin Hl Washington MI 48094-2188 |
| Mailing Address |
11203 Pinehurst Ln Grand Blanc MI 48439-2630 |
| Practice Telephone | 8106912529 |
| Mailing Telephone | 8106912529 |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 53063 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | OTHER COMMERCIAL INSURANCES | 1275778672 | 01 |
| MI | 1275778672 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11203 Pinehurst Ln, Grand Blanc, MI 484392630 | 8106912529 |
| Street Address |
6257 ROBIN HL |
| City | WASHINGTON |
| State | MI |
| Zip Code | 48094-2188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437605367 | Kimberly Wisniewski | Technician, Other | 5253 Suncreek Court, Washington Twp, MI 48094 | 2016-08-31 |
| 1548670318 | Darren Bodeep | Pharmacist | 8401 26 Mile Rd., Washington Twp, MI 48094 | 2014-05-02 |
| 1669626289 | Lifespan Therapy & Wellness, LLC | Physical Therapist | 7457 Sawgress Dr, Washington Township, MI 48094 | 2008-11-10 |
| 1821248931 | Alan Henry Weitenberner | General Practice | 6948 Rickett, Washington, MI 48094 | 2008-09-25 |
| 1245458280 | Barbara Fisher | Clinical Neuropsychologist | 59100 Mound Rd, Washington Twp, MI 48094 | 2007-04-23 |
| 1265581730 | Cynthia Anne Housel | Internal Medicine | Washington Primary Care, 57850 Van Dyke Ste 600, Washington, MI 48094 | 2007-01-10 |
| 1053475392 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 8401 26 Mile Rd, Washington Twp, MI 48094 | 2006-12-21 |
| 1972997443 | Christopher Czapp | Family Medicine | 58024 Van Dyke Rd, Washington Township, MI 48094 | 2015-03-23 |
| 1881818912 | Washington Township | Ambulance | 8100 Wicker St, Washington, MI 48094-0186 | 2007-04-12 |
| 1922348762 | Danielle Marie Cook | Recreation Therapist | 62960 Mount Vernon Rd, Washington, MI 48094-1048 | 2013-02-14 |
| Find all providers in zip 48094 | ||||
| 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 |
|---|---|---|---|---|
| 1063037802 | Beez Bikes | Recreation Therapist | 3001 O St Se, Washington, DC 20020-3618 | 2020-06-08 |
| 1922348762 | Danielle Marie Cook | Recreation Therapist | 62960 Mount Vernon Rd, Washington, MI 48094-1048 | 2013-02-14 |
| 1467622464 | George William Ouellette | Recreation Therapist | 72 E Asbury Anderson Rd, Washington, NJ 07882-4041 | 2008-03-05 |
| 1487766135 | Lucile A Lisle | Recreation Therapist | 50 Irving St Nw Rm 2j113, Washington, DC 20422-0001 | 2006-08-31 |
| 1659496032 | Heather Marie Campbell | Recreation Therapist | 102 Irving St Nw, Washington, DC 20010-2921 | 2007-03-21 |
| 1558487736 | Rebekah Jane Lehman | Recreation Therapist | 102 Irving St Nw, Washington, DC 20010-2921 | 2007-03-21 |
| 1124143375 | Joan Parchem Joyce | Recreation Therapist | 102 Irving St Nw, National Rehabilitation Hospital, Washington, DC 20010-2921 | 2007-03-20 |
| 1861595183 | Stacey Charmaine Childs | Recreation Therapist | 50 Irving St Nw, Washington, DC 20422-0001 | 2006-09-06 |
| 1912019431 | Percy D. Norman | Recreation Therapist | 50 Irving St Nw, Washington, DC 20422-0001 | 2006-08-31 |
| 1750493425 | Jon Palks | Recreation Therapist | 50 Irving St Nw, Washington, DC 20422-0001 | 2006-08-31 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 48094 |
Please comment or provide details below to improve the information on MS. ANDREA RAE WEDGE.
| 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.