MAE MARIE LARSON


Address: 1401 E State St, Rockford, IL 61104-2315
Phone: 8154894595

MAE MARIE LARSON (NPI# 1285127878) 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) 1285127878
Entity Type Individual
Full Name MAE MARIE LARSON
Practice Address 1401 E State St
Rockford
IL 61104-2315
Practice Telephone 8154894595
Enumeration Date 2018-06-08
Last Update Date 2018-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 056.008122 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1401 E STATE ST
City ROCKFORD
State IL
Zip Code 61104-2315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003899196 Thomas Danko Pediatrics 1401 E State St, Rockford, IL 61104-2315 2005-11-22
1184232621 Sound Physicians Emergency Medicine of Illinois LLC Emergency Medicine 1401 E State St, Rockford, IL 61104-2315 2020-07-21
1235764556 Alexandra Paganis Nurse Practitioner 1401 E State St, Rockford, IL 61104-2315 2020-03-06
1538790266 Sherri L Paprocki Emergency Medicine 1401 E State St, Rockford, IL 61104-2315 2020-01-31
1417593310 Jason C Hipe Registered Nurse 1401 E State St, Rockford, IL 61104-2315 2019-11-26
1487298642 Matthew Montgomery Physical Therapist 1401 E State St, Rockford, IL 61104-2315 2019-10-31
1265076541 Sarah Kemp Occupational Therapist 1401 E State St, Rockford, IL 61104-2315 2019-10-30
1891341939 Swedishamerican Hospital Pharmacy 1401 E State St, Rockford, IL 61104-2315 2019-08-14
1306408885 Jonathan Ray Nelson Physical Therapy Assistant 1401 E State St, Rockford, IL 61104-2315 2019-07-03
1124680608 Kirsten Sympson Occupational Therapy Assistant 1401 E State St, Rockford, IL 61104-2315 2019-07-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699216564 Swedishamerican Hospital Nutritionist 1415 E. State St., Lower Level A3, Rockford, IL 61104 2017-03-13
1376950485 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 200, Rockford, IL 61104 2014-07-21
1871907774 Oday Alsarraf Psychiatry & Neurology 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 2014-06-18
1962652339 Children's Home and Aid Community/Behavioral Health 424 7th St, Rockford, IL 61104 2008-09-23
1689729535 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 100, Rockford, IL 61104 2007-01-23
1790873016 David J Schleicher Obstetrics & Gynecology 209 9th St Ste 200, Rockford, IL 61104 2006-10-11
1013026624 Thomas Ryan Moss Dentist 1415 E State Street, Rockford, IL 61104 2006-08-29
1366452096 Arturo Santiago Manas Obstetrics & Gynecology 1415 E State St Fl 8, Rockford, IL 61104 2006-08-08
1245263268 William John Stout Physician Assistant 1401 E State Street, Rockford, IL 61104 2006-07-10
1689604969 Prabha Chand Dosi Pediatrics 1401 E. State Street, Rockford, IL 61104 2006-07-03
Find all providers in zip 61104

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134654031 Kiley Wallden Occupational Therapist 4617 White Oak Ave, Rockford, IL 61114-6235 2017-04-27
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1043672611 Ann Licari Occupational Therapist 4123 Singleton Rd, Rockford, IL 61114-6159 2016-03-23
1497142616 Adrienne Samuel Occupational Therapist 2123 Clinton St, Rockford, IL 61103-4104 2015-04-26
1417394099 Jensine Houghton Occupational Therapist 4010 Woodhill Ct, Rockford, MN 55373-9105 2013-05-23
1194048041 Nita Patel Occupational Therapist 960 Tulip Ln Apt 4, Rockford, IL 61107-5738 2010-03-07
1336377993 Colleen Mary Mcdonald Occupational Therapist 417 N Rockford Ave, Rockford, IL 61107-4548 2009-06-23
1831368463 Jennifer Papoccia Occupational Therapist 1411 E Gate Pkwy, Rockford, IL 61108-6140 2008-02-28
1124297759 Letitia Taylor Occupational Therapist 3250 Brook Harbour Dr, Rockford, IL 61114-6650 2008-02-28
1639375728 Ellen M Marqua Occupational Therapist 3108 Rural St, Rockford, IL 61107-3461 2007-06-25
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61104

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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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