JULIE CRYSTAL RIETDYK (NPI# 1528200748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528200748 |
| Entity Type | Individual |
| Full Name | JULIE CRYSTAL RIETDYK |
| Credential | MS, OTR/L |
| Practice Address |
626 Bethany Rd Dekalb IL 60115-4939 |
| Mailing Address |
583 Clayton Cir Sycamore IL 60178-8908 |
| Practice Telephone | 8157488900 |
| Mailing Telephone | 2694912969 |
| Mailing Fax Number | 8157580717 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.008642 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
626 BETHANY RD |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752703 | Satya P Manam | Anesthesiology | 626 Bethany Rd, Dekalb, IL 60115-4939 | 2005-06-30 |
| 1801091947 | Cardiac & Vascular Specialists, S.c. | Internal Medicine | 626 Bethany Rd, Dekalb, IL 60115-4939 | 2007-06-19 |
| 1710103130 | Meri Tienn Goehring | Physical Therapist | 626 Bethany Rd, Dekalb, IL 60115-4939 | 2007-04-17 |
| 1437203528 | Bruce Brantman | Emergency Medicine | 626 Bethany Rd, Dekalb, IL 60115-4939 | 2007-01-23 |
| 1114071248 | Jeanne M Johnston | Emergency Medicine | 626 Bethany Rd, Dekalb, IL 60115-4939 | 2007-01-23 |
| 1760536700 | Michael Kulisz | Emergency Medicine | 626 Bethany Rd, Dekalb, IL 60115-4939 | 2007-01-23 |
| 1437203510 | Todd R Barrowclift | Emergency Medicine | 626 Bethany Rd, Dekalb, IL 60115-4939 | 2007-01-23 |
| 1407900475 | Laura S Schulze | Emergency Medicine | 626 Bethany Rd, Dekalb, IL 60115-4939 | 2007-01-23 |
| 1720187453 | Patrick Gerard Gannon | Emergency Medicine | 626 Bethany Rd, 3251 Commerce Drive, Dekalb, IL 60115-4939 | 2006-09-21 |
| 1396851713 | Consultants In Diagnostic Imaging Sc | Radiology | 626 Bethany Rd, Dekalb, IL 60115-4929 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| 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 |
|---|---|---|---|---|
| 1023303856 | Jennifer Helen Courtney | Occupational Therapist | 348 Manning Dr, Dekalb, IL 60115-9502 | 2011-06-09 |
| 1831428416 | Robert Kurt Gratschmayr | Occupational Therapist | 2200 Cambridge Ct, Dekalb, IL 60115-5221 | 2009-12-10 |
| 1932706090 | Casey Mullen | Occupational Therapist | 2600 N Annie Glidden Rd, Dekalb, IL 60115-1207 | 2020-10-02 |
| 1467072165 | Haley Ezelle | Occupational Therapist | 220 Willow Ave, Dekalb, MS 39328 | 2020-04-22 |
| 1295388254 | Alexandra Elaine Ferguson | Occupational Therapist | 1212 S 2nd St, Dekalb, IL 60115-4435 | 2019-07-18 |
| 1174941603 | Veronica Glickman | Occupational Therapist | 151 W Lincoln Hwy, Suite E, Dekalb, IL 60115-3680 | 2014-04-02 |
| 1942643689 | Kimberly Katherine Franzen | Occupational Therapist | 1212 S 2nd St, Dekalb, IL 60115-4435 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1083214019 | Kelly Shavonne Johnson-means | Occupational Therapist | 715 N Sawyer Ave, Chicago, IL 60624-1532 | 2020-10-28 |
| 1912506247 | Elizabeth L Hadhazy | Occupational Therapist | 5 W Boulder Ct Apt A, Palos Hills, IL 60465-2347 | 2020-10-19 |
| 1952909343 | Samantha E Grimm | Occupational Therapist | 1651 Amaryllis Dr, Romeoville, IL 60446-5131 | 2020-10-16 |
| 1467050708 | Dpt Holdings LLC | Occupational Therapist | 417 E Il Route 173 Unit 101, Antioch, IL 60002-9407 | 2020-10-09 |
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1154928141 | Raymund Espiritu | Occupational Therapist | 559 W Millers Rd, Des Plaines, IL 60016-2674 | 2020-10-03 |
| 1720695158 | Christine Baumann | Occupational Therapist | 9421 Burlington Ave Apt 1n, Brookfield, IL 60513-1868 | 2020-09-29 |
| 1972119279 | Caitlin Wend | Occupational Therapist | 2317 E Lincoln Highway, Suite B, Sterling, IL 61081 | 2020-09-22 |
| 1518573260 | Kaila Ann Lange | Occupational Therapist | 4450 48th St Ct, Rock Island, IL 61202 | 2020-09-18 |
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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.