KATIE MARIE MITTELSTAEDT (NPI# 1275831836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275831836 |
| Entity Type | Individual |
| Full Name | KATIE MARIE MITTELSTAEDT |
| Credential | COTA |
| Practice Address |
15500 19 Mile Rd Ste 330 Clinton Twp MI 48038 |
| Mailing Address |
20000 Victor Pkwy Ste 100 Livonia MI 48152-7027 |
| Practice Telephone | 5864120016 |
| Mailing Telephone | 7347432909 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202006974 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14145 Simone Dr, Shelby Township, MI 483153228 | 5865666280 |
| Street Address |
15500 19 MILE RD STE 330 |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598317281 | Shandra Nicole Hamilton | Physical Therapist | 15500 19 Mile Rd Ste 330, Clinton Twp, MI 48038-6313 | 2019-07-12 |
| 1659841898 | Kimberly Dietrich | Physical Therapist | 15500 19 Mile Rd Ste 330, Clinton Twp, MI 48038-6313 | 2018-11-30 |
| 1003275629 | Danielle M. Ruthven | Physical Therapy Assistant | 15500 19 Mile Rd Ste 330, Clinton Twp, MI 48038-6313 | 2016-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275099111 | Miranda Mackew | Occupational Therapy Assistant | 43478 Meadowlark Cir, Clinton Twp, MI 48036-3352 | 2019-02-15 |
| 1609179696 | Alyssa Voiland | Occupational Therapy Assistant | 44682 Morley Dr, Clinton Twp, MI 48036-1358 | 2010-12-13 |
| 1275724080 | Victoria Mcwherter | Occupational Therapy Assistant | 44738 Morley Dr, Clinton Twp, MI 48036-1357 | 2007-08-06 |
| 1114495538 | Naome Marshall | Occupational Therapy Assistant | 44738 Morley Dr, Clinton Twp, MI 48036-1357 | 2018-11-02 |
| 1629522651 | Danielle Finn | Occupational Therapy Assistant | 44738 Morley Dr, Clinton Twp, MI 48036-1357 | 2016-08-08 |
| 1962825901 | Amber Sharee Bernard | Occupational Therapy Assistant | 44738 Morley Drive, Center for Tlc, Clinton Twp, MI 48036 | 2014-01-28 |
| 1538595392 | Chandra Hunt | Occupational Therapy Assistant | 44738 Morley Dr, Clinton Twp, MI 48036-1357 | 2013-09-24 |
| 1962750745 | Luke A Nelson | Occupational Therapy Assistant | 44738 Morley Dr, Clinton Twp, MI 48036-1357 | 2012-08-27 |
| 1558633537 | Ashley Laqua Armstrong | Occupational Therapy Assistant | 35746 Harper Ave, Clinton Twp, MI 48035-3212 | 2012-02-06 |
| 1124303920 | Todd German | Occupational Therapy Assistant | 44682 Morley Dr, Clinton Twp, MI 48036-1358 | 2011-10-13 |
| Find all providers in CLINTON TWP | ||||
| City | CLINTON TWP |
| Zip Code | 48038 |
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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.