BRYAN LEE HERDER (NPI# 1316169303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316169303 |
| Entity Type | Individual |
| Full Name | BRYAN LEE HERDER |
| Credential | O.T. |
| Practice Address |
7971 Moorsbridge Rd Portage MI 49024-4075 |
| Practice Telephone | 2693210929 |
| Practice Fax Number | 2693211767 |
| Mailing Telephone | 2693210929 |
| Mailing Fax Number | 2693211767 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201005556 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7971 MOORSBRIDGE RD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994841 | Scott Donald Holley | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2005-07-06 |
| 1366976912 | Kyle L Purdum | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2017-04-19 |
| 1720538341 | Southwest Michigan Plastic and Hand Surgery, PC | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2016-10-06 |
| 1386027977 | Diana Calderon | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2015-07-01 |
| 1992197925 | Three Rivers Health System, Inc | Podiatrist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2015-02-27 |
| 1386987311 | Kristina Machiri | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2013-03-27 |
| 1215181557 | Craig Michael Bradfield | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2008-11-13 |
| 1336335785 | Great Lakes Plastic Reconstructive & Hand Surgery P C | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2007-09-19 |
| 1760603427 | Nancy Ellen Krolikowski | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2007-05-01 |
| 1437378932 | Great Lakes Hand Therapy PC | Occupational Therapist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109363 | Alaba Ifeoluwa Awosika | Occupational Therapist | 2716 Bear Paw Dr, Portage, IN 46368-2885 | 2019-05-15 |
| 1396213823 | Gail Sulkey | Occupational Therapist | 4717 Pinefield Ave, Portage, MI 49024-4902 | 2018-11-02 |
| 1871014076 | Kelsey Paternoster | Occupational Therapist | 1210 Forest Dr, Portage, MI 49002-6316 | 2017-06-28 |
| 1194197012 | Cody Skutch | Occupational Therapist | 166 Shady Springs Rd, Portage, PA 15946-7300 | 2015-10-30 |
| 1114312337 | Jennifer Owen | Occupational Therapist | 6430 Savannah Ave, Portage, IN 46368-4534 | 2015-04-03 |
| 1235552357 | Pediatric Therapy, LLC | Occupational Therapist | 514 Orchard St, Portage, PA 15946-1626 | 2014-01-24 |
| 1841568987 | Kelly Seelye | Occupational Therapist | 4024 W Centre Ave Apt 118, Portage, MI 49024-4664 | 2011-12-04 |
| 1972826337 | Yvonne R Fulton | Occupational Therapist | 7971 Moorsbridge, Portage, MI 49024-4075 | 2010-03-12 |
| 1346562196 | Luke Mcauley | Occupational Therapist | 3325 Willowcreek, Portage, IN 46368-5885 | 2010-02-22 |
| 1891943437 | Peggy Louann Nelson | Occupational Therapist | 414 Winnebago Ave, Portage, WI 53901-1230 | 2008-09-08 |
| Find all providers in PORTAGE | ||||
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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.