MAYANNA LYNNE DETTWYLER (NPI# 1457831455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457831455 |
| Entity Type | Individual |
| Full Name | MAYANNA LYNNE DETTWYLER |
| Credential | COTA/L |
| Practice Address |
10330 Se 32nd Ave Milwaukie OR 97222-6587 |
| Mailing Address |
1212 Se Oak Grove Blvd Milwaukie OR 97267-1073 |
| Practice Telephone | 5035138600 |
| Mailing Telephone | 5035808081 |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 406400 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10330 SE 32ND AVE |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941154 | John William Ragsdale | Surgery | 10330 Se 32nd Ave, Suite 340, Milwaukie, OR 97222-6587 | 2005-09-08 |
| 1083259717 | Kimberly Kay Amayao | Registered Nurse | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2019-11-18 |
| 1427536747 | Mladen Kolundzija | Physical Therapist | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2018-07-30 |
| 1205314580 | Jillian Haney | Physical Therapist | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2018-07-30 |
| 1235640574 | Tram Huyen Thi Pham | Licensed Practical Nurse | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2017-10-13 |
| 1295253367 | Lynda Devery | Registered Nurse | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2017-09-08 |
| 1831625011 | Rachel K Jackson | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave, Ste 205, Milwaukie, OR 97222-6587 | 2017-05-05 |
| 1851822555 | Alta May Hertz | Registered Nurse | 10330 Se 32nd Ave, Suite 325, Milwaukie, OR 97222-6587 | 2017-03-23 |
| 1073053351 | Lucy Rideout | Registered Nurse | 10330 Se 32nd Ave, 110, Milwaukie, OR 97222-6587 | 2017-03-06 |
| 1255878419 | Audigy Venture Group LLC | Audiologist | 10330 Se 32nd Ave, Suite 320, Milwaukie, OR 97222-6587 | 2017-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568869618 | Diane Faye Huchendorf | Occupational Therapy Assistant | 19815 Se Rinearson Dr, Milwaukie, OR 97267-6975 | 2014-12-04 |
| 1114344603 | Jennifer Renee Worth | Occupational Therapy Assistant | 4560 Se International Way Suite 101, Consonus Facilities, Milwaukie, OR 97222 | 2014-03-24 |
| 1427359389 | Kelly L Soria | Occupational Therapy Assistant | 4560 Se Internation Way Ste 100, Milwaukie, OR 97222 | 2010-11-09 |
| 1992306013 | Mario Ramos | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-11-04 |
| 1659978302 | Andrea Maria Atencio | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-10-06 |
| 1205450756 | Maria Kristine Jimenez | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-06-01 |
| 1386268985 | Kimberly Marie Wolford | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-05-31 |
| 1407486632 | Cody Allen Murphy | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-01-15 |
| 1033750294 | Karen Elaine Bishop | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2019-09-30 |
| 1568017960 | Sean R Kinsler | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2019-08-03 |
| Find all providers in MILWAUKIE | ||||
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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.