SUSANNE MARY WALDREP (NPI# 1326321266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326321266 |
| Entity Type | Individual |
| Full Name | SUSANNE MARY WALDREP |
| Credential | MAT, OTR |
| Practice Address |
14145 Simone Dr Shelby Twp MI 48315-3228 |
| Practice Telephone | 5865666280 |
| Practice Fax Number | 5865661898 |
| Mailing Telephone | 5865666280 |
| Mailing Fax Number | 5865661898 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201003087 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14145 SIMONE DR |
| City | SHELBY TWP |
| State | MI |
| Zip Code | 48315-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891211108 | Christina Marie Dashe | Occupational Therapist | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2017-08-17 |
| 1790123305 | Developing Connections Inc. | Speech-Language Pathologist | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2013-06-06 |
| 1699059014 | Anna Wrobel | Occupational Therapy Assistant | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2011-10-04 |
| 1780968248 | Mary Jo Calcaterra | Speech-Language Pathologist | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2011-10-03 |
| 1265729289 | Lindsey Vickers | Speech-Language Pathologist | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2011-06-29 |
| 1033404231 | Jennifer Brooke Jones | Occupational Therapy Assistant | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2011-06-15 |
| 1508151895 | Kimberly Bonikowski | Occupational Therapy Assistant | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2011-06-14 |
| 1134447394 | Katrina Djokic | Speech-Language Pathologist | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2010-05-12 |
| 1518285774 | Jane Resutek | Occupational Therapist | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2010-05-12 |
| 1194041244 | Jenna Marie Mueller | Occupational Therapy Assistant | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| 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 |
|---|---|---|---|---|
| 1013159821 | Jennifer Anne Owczarek | Occupational Therapist | 50840 Parsons Dr, Shelby Twp, MI 48317-1163 | 2009-03-26 |
| 1043818883 | Katherine Toering | Occupational Therapist | 15023 21 Mile Rd, Shelby Twp, MI 48315-5024 | 2020-10-14 |
| 1013542125 | Paul Benjamin Webb | Occupational Therapist | 46100 Schoenherr Rd, Shelby Twp, MI 48315-5344 | 2020-03-09 |
| 1164997177 | Hilary Miller | Occupational Therapist | 14153 Rick Dr, Shelby Twp, MI 48315 | 2018-10-05 |
| 1336630631 | Lora Gazal | Occupational Therapist | 46100 Schoenherr Rd, Shelby Twp, MI 48315-5344 | 2018-05-22 |
| 1912400615 | Stephanie Lynn Carnaghi | Occupational Therapist | 15023 21 Mile Rd, Shelby Twp, MI 48315-5024 | 2018-03-09 |
| 1154839959 | Megan Wilson | Occupational Therapist | 15023 21 Mile Rd, Shelby Twp, MI 48315-5024 | 2018-01-15 |
| 1891211108 | Christina Marie Dashe | Occupational Therapist | 14145 Simone Dr, Shelby Twp, MI 48315-3228 | 2017-08-17 |
| 1396287637 | Sarah Dill | Occupational Therapist | 15023 21 Mile Rd, Shelby Twp, MI 48315-5024 | 2016-11-16 |
| 1497109797 | Kaylee Handy | Occupational Therapist | 14153 Rick Dr, Shelby Twp, MI 48315-2951 | 2016-04-22 |
| Find all providers in SHELBY TWP | ||||
| City | SHELBY TWP |
| Zip Code | 48315 |
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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.