MRS. STACY BLIDER (NPI# 1285096768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285096768 |
| Entity Type | Individual |
| Full Name | MRS. STACY BLIDER |
| Credential | COTA |
| Practice Address |
932 Louise Dr Momence IL 60954 |
| Mailing Address |
932 Louise Dr Momence IL 60954-2326 |
| Practice Telephone | 7084001173 |
| Mailing Telephone | 7084001173 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057002262 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
932 LOUISE DR |
| City | MOMENCE |
| State | IL |
| Zip Code | 60954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194373001 | Zoe Luedtke | Technician | 11841 E. Gregg Blvd., Momence, IL 60954 | 2019-09-04 |
| 1427302413 | Garden of Prayer Youth Center | Community/Behavioral Health | 16424 East State Route 114, Momence, IL 60954 | 2012-10-30 |
| 1235376161 | Doc's Drugs Ltc | Skilled Nursing Facility | 2764 North Route 1-17, B, Momence, IL 60954 | 2009-01-14 |
| 1477741452 | Exceptional Health Partners S.c. | Family Medicine | 13043 S.e. 2260 Rd, Momence, IL 60954 | 2007-10-04 |
| 1790800597 | Momence Community Unit School District #1 | Local Education Agency (LEA) | 415 N Dixie Highway, Momence, IL 60954 | 2007-03-20 |
| 1063598068 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 2764 N. Route 1-17, Momence, IL 60954 | 2006-10-31 |
| 1689998700 | Good Shepherd Manor Groups Homes, Inc | Intermediate Care Facility, Mentally Retarded | 4129 N State Routes 1 & 17, Momence, IL 60954 | 2010-03-18 |
| 1750659199 | Good Shepherd Manor Inc | Intermediate Care Facility, Mentally Retarded | 4003 N. Routes 1 & 17, Momence, IL 60954-0260 | 2011-12-13 |
| 1841568284 | Good Shepherd Manor Inc | Intermediate Care Facility, Mentally Retarded | 4129a N. State Routes 1 & 17, Momence, IL 60954-0260 | 2011-12-13 |
| 1700100971 | Good Shepherd Manor, Inc | Custodial Care Facility | 4129 N State Routes 1 & 17, Momence, IL 60954-0260 | 2010-03-17 |
| Find all providers in zip 60954 | ||||
| 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 |
|---|---|---|---|---|
| 1356940886 | Kathleen Pumo | Occupational Therapy Assistant | 300 W 22nd St, Lombard, IL 60148-5417 | 2020-10-26 |
| 1093314593 | Melissa Eileen Suermann | Occupational Therapy Assistant | 300 S Station Rd, Glen Carbon, IL 62034-2739 | 2020-10-26 |
| 1265049746 | Lauren Bryant | Occupational Therapy Assistant | 17042 Wausau Ave, South Holland, IL 60473-3352 | 2020-09-28 |
| 1992312631 | Agnieszka Wanda Bis | Occupational Therapy Assistant | 110 W Schaumburg Rd, Streamwood, IL 60107-1459 | 2020-09-27 |
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1326651894 | Laverne Reese | Occupational Therapy Assistant | 150 S Durkin Dr Apt, Springfield, IL 62704-1151 | 2020-08-25 |
| 1326650235 | Cheryl Annette Perrilles | Occupational Therapy Assistant | 5124 S Alaska Rd, Peoria, IL 61607-9541 | 2020-08-21 |
| 1003426487 | Allyx Underwood | Occupational Therapy Assistant | 111 S Homer St, Princeton, IL 61356-1850 | 2020-07-31 |
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1508483991 | Latika Kemp | Occupational Therapy Assistant | 7246 S. King Dr., Chicago, IL 60619-1726 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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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.