COREY R VANDERWULP


Address: 1650 Barlow St, Traverse City, MI 49686-4721
Phone: 2319413100

COREY R VANDERWULP (NPI# 1558606830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558606830
Entity Type Individual
Full Name COREY R VANDERWULP
Credential OT
Practice Address 1650 Barlow St
Traverse City
MI 49686-4721
Practice Telephone 2319413100
Practice Fax Number 2319220382
Mailing Telephone 2319413100
Mailing Fax Number 2319220382
Enumeration Date 2012-11-28
Last Update Date 2012-11-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 5201004911 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI GLTHC TAX ID 43-2035142 01

Office Location

Street Address 1650 BARLOW ST
City TRAVERSE CITY
State MI
Zip Code 49686-4721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336252378 Heidi M Hoffman Occupational Therapist 1650 Barlow St, Traverse City, MI 49686-4721 2006-08-16
1710510409 Soul Purpose Home Care, LLC Home Health 1650 Barlow St, Traverse City, MI 49686-4721 2020-02-20
1972168987 Rodney P Ranger Physical Therapist 1650 Barlow St, Traverse City, MI 49686-4721 2019-05-06
1912438177 Pamela Mcgraw Physical Therapist 1650 Barlow St, Traverse City, MI 49686-4721 2017-03-21
1689126401 Heidi Mueller Physical Therapist 1650 Barlow St, Traverse City, MI 49686-4721 2016-10-27
1649626979 Haleigh Marie Ensman Occupational Therapist 1650 Barlow St, Traverse City, MI 49686-4721 2016-05-05
1417374075 Great Lakes Home Healthcare Specialists, LLC Home Health 1650 Barlow St, # 10, Traverse City, MI 49686-4721 2014-03-20
1164851812 Molly Harrison Occupational Therapy Assistant 1650 Barlow St, Traverse City, MI 49686-4721 2013-11-04
1598194144 Ame Rica Santiago Palacpac Physical Therapist 1650 Barlow St, Traverse City, MI 49686-4721 2013-11-04
1538411467 Michelle D Welch Physical Therapist 1650 Barlow St, Traverse City, MI 49686-4721 2012-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245877208 Jessica Marie Glowacki Behavior Technician 935 Hemlock St, Traverse City, MI 49686 2019-12-09
1568011542 Joanne Kressley Technician 1693 Maylane Apt. 104, Traverse City, MI 49686 2019-09-11
1194283846 Pace North PACE Provider Organization 2325 Garfield Road N., Traverse City, MI 49686 2019-03-12
1245749225 Margaret Anne Goss Speech-Language Pathologist 1105 E. Eighth Street, Traverse City, MI 49686 2017-09-22
1467981811 Joan Joyce Shirilla Social Worker 2124 Twin Eagles Dr, Traverse City, MI 49686 2017-06-08
1770028763 Rehab and Mobility Systems, LLC Durable Medical Equipment & Medical Supplies 707 Parsons, Traverse City, MI 49686 2016-12-29
1629511316 Kaitlyn Grangood Social Worker 415 Munson Avenue, Ste 101, Traverse City, MI 49686 2016-11-29
1811441132 Jeffrey D Goodwin Counselor 430 Fair St., Traverse City, MI 49686 2016-08-04
1053779918 Thomas Osborne Counselor 2014 Phelps Rd., Traverse City, MI 49686 2016-02-08
1982079588 Marsha Lynne Dallas Counselor 2240 South Airport Road, Traverse City, MI 49686 2015-12-08
Find all providers in zip 49686

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922663723 Stacey Beyer, Otr Pllc Occupational Therapist 4764 Fairway Dr, Traverse City, MI 49685-7479 2019-05-07
1497259642 Gretchen Gaylord Fraser Occupational Therapist 2970 Keewaydin Trl, Traverse City, MI 49686-8564 2018-03-22
1346744919 Laura Lynn Hayes Occupational Therapist 2119 Black Forest Ln, Traverse City, MI 49696-8165 2018-03-20
1801330774 Dawn Brown Occupational Therapist 1470 Outer Dr W, Traverse City, MI 49685-8687 2016-12-13
1336511393 Jessica Rose Loose Occupational Therapist 3205 Supply Rd, Traverse City, MI 49696-9486 2015-10-29
1982087995 Allison Nemetz Schajter Occupational Therapist 4110 Copper Ridge Dr., Ste 202, Traverse City, MI 49684 2015-07-08
1144613217 Brooke Ensing Occupational Therapist 328 Munson Ave Ste A, Traverse City, MI 49686-3097 2015-03-12
1922438845 Kathleen Bair Occupational Therapist 783 Lake George Trl, Traverse City, MI 49696-9457 2013-11-13
1295164846 Jeffrey Bucknam Occupational Therapist 7711 Gingerwood Dr, Traverse City, MI 49685-9024 2013-11-04
1255769188 Julie Jordan Cook Occupational Therapist 808 S Garfield Ave Ste A, Traverse City, MI 49686-3464 2013-11-01
Find all providers in TRAVERSE CITY

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City TRAVERSE CITY
Zip Code 49686

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Dataset Information

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.

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