MRS. MAKENSIE RAE DUDLEY (NPI# 1407468127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407468127 |
| Entity Type | Individual |
| Full Name | MRS. MAKENSIE RAE DUDLEY |
| Credential | OTR/L |
| Practice Address |
3180 Professional Plz Ste 101 Germantown TN 38138-1534 |
| Mailing Address |
7830 Grove Brook Ct Unit 14-101 Germantown TN 38138-3305 |
| Practice Telephone | 9013282110 |
| Mailing Telephone | 7314413575 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 6597 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3180 PROFESSIONAL PLZ STE 101 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578090528 | Carol Chan | Occupational Therapist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2017-05-20 |
| 1174131338 | Sarah Downen | Occupational Therapist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2020-07-14 |
| 1669930681 | Katherine Burnett | Occupational Therapist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2019-03-08 |
| 1750866893 | Rachel Jones | Physical Therapist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2018-09-25 |
| 1811471261 | Cynthia Laird Maxey | Speech-Language Pathologist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2018-09-21 |
| 1205310208 | Helen Russell | Physical Therapy Assistant | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2018-09-17 |
| 1538643556 | Jordyn Potter | Occupational Therapy Assistant | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2018-09-17 |
| 1497238430 | Victoria Dufour Schreiber | Speech-Language Pathologist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2018-09-14 |
| 1841773744 | Mary Larkin Rumbarger | Speech-Language Pathologist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2018-09-07 |
| 1124507462 | Catherine Jordan | Speech-Language Pathologist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| 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 |
|---|---|---|---|---|
| 1336766039 | Andrew Boyd Hamrick | Occupational Therapist | 8040 Wolf River Blvd Ste 102, Germantown, TN 38138-1773 | 2020-06-29 |
| 1154940773 | Audrey Owens | Occupational Therapist | 2164 Night Shade Dr, Germantown, TN 38139-5318 | 2020-04-14 |
| 1750922316 | Patrick Cardosi | Occupational Therapist | 9070 Grovelawn Cv E, Germantown, TN 38139-5679 | 2019-10-04 |
| 1578090528 | Carol Chan | Occupational Therapist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2017-05-20 |
| 1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
| 1346518768 | Leslie Rebecca Tompkins | Occupational Therapist | 181 Mill Road, Germantown, NY 12526 | 2011-12-13 |
| 1730462516 | Nimisha Shah Clawson | Occupational Therapist | 7480 Willey Rd, Germantown, TN 38138-2818 | 2011-09-27 |
| 1134457427 | Rose Bavlnka | Occupational Therapist | W202n10223 Lannon Rd, Germantown, WI 53022-9545 | 2009-11-24 |
| 1992946453 | Joan B Devlin | Occupational Therapist | W173n10915 Bernie's Way, Germantown, WI 53022-4043 | 2009-03-13 |
| 1891952628 | Ayanna Hill | Occupational Therapist | 18938 Moonwalk Ct, Germantown, MD 20874-6119 | 2008-05-20 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.