STEPHANIE MARTIN (NPI# 1457675910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457675910 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARTIN |
| Credential | MSOT, OTR |
| Practice Address |
1430 E Madison St South Bend IN 46617-2427 |
| Practice Telephone | 6173086461 |
| Practice Fax Number | 6173086461 |
| Mailing Telephone | 6173086461 |
| Mailing Fax Number | 6173086461 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2015-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056008874 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1568833275 | Stephanie K Martin | Acupuncturist | 1549 Josephine St, Berkeley, CA 94703-1168 | 2015-10-08 |
| 1851728158 | Stephanie Martin | Marriage & Family Therapist | 314 17th Ave N, Hopkins, MN 55343-7343 | 2013-10-01 |
| 1740523703 | Stephanie Nicole Martin | Technician | 8791 Hammerly Blvd Apt 128, Houston, TX 77080-6658 | 2013-03-28 |
| 1952661860 | Stephanie M Martin | Massage Therapist | 6066 Highway 291, Nine Mile Falls, WA 99026-5008 | 2012-05-24 |
| 1720218241 | Stephanie Martin | Specialist | 4660 Highway 1275 N, Monticello, KY 42633-7241 | 2009-07-17 |
| 1801056213 | Stephanie Martin | Case Manager/Care Coordinator | 14343 White Cross Dr, Houston, TX 77083 | 2008-06-10 |
| 1295910123 | Stephanie Anne Martin | Audiologist | 983 Nw Spruce Ave, Corvallis, OR 97330-2111 | 2008-01-09 |
| 1205025384 | Stephanie A Martin | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2007-10-15 |
| 1043425747 | Stephanie Martin | Specialist/Technologist | 610 Southern Camp Drive, Hueysville, KY 41640-0152 | 2007-05-14 |
| Street Address |
1430 E MADISON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
|---|---|---|---|---|
| 1730742453 | Emily Veronica Polovick | Occupational Therapist | 53021 Poppy Rd, South Bend, IN 46628-9238 | 2019-04-18 |
| 1952840183 | Globe Star, LLC | Occupational Therapist | 935 S Ironwood Dr, South Bend, IN 46615-1613 | 2017-02-21 |
| 1568760213 | Susan Strope | Occupational Therapist | 17390 Dugdale Dr, South Bend, IN 46635-1512 | 2011-03-04 |
| 1457669319 | Rhonda Lee Ellen Lynette Davis-cheshire | Occupational Therapist | 22839 Arbor Pointe Dr, South Bend, IN 46628-9397 | 2010-09-14 |
| 1831345248 | Cherlyn Po | Occupational Therapist | 52654 N Ironwood Rd, South Bend, IN 46637 | 2008-08-18 |
| 1568618478 | Marian Katherine Gartee | Occupational Therapist | 52654 Ironwood Rd, South Bend, IN 46635-1123 | 2008-08-12 |
| 1821206608 | Lydia Bradfortd Otiato | Occupational Therapist | 1818 Georgian Ct, South Bend, IN 46614-1878 | 2007-05-18 |
| 1588877492 | Anne Elizabeth Knouse | Occupational Therapist | 5709 Danbury Dr, South Bend, IN 46614-6047 | 2007-05-07 |
| 1124249867 | Kristin Shide | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2007-05-01 |
| 1811047822 | Kristine Lee Kalber | Occupational Therapist | 801 E Lasalle Avenue, South Bend, IN 46617 | 2007-01-11 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.