MRS. MARIBEL DELIA BRACKE (NPI# 1558971762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558971762 |
| Entity Type | Individual |
| Full Name | MRS. MARIBEL DELIA BRACKE |
| Credential | CTRS, CDP |
| Practice Address |
1601 Sw Archer Rd # 117c Gainesville FL 32608-1135 |
| Mailing Address |
16781 Nw 167th Dr Alachua FL 32615-6498 |
| Practice Telephone | 3523761611 |
| Mailing Telephone | 2242233885 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 63348 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1601 SW ARCHER RD # 117C |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342101 | Stefan C.m. Wickli | Recreation Therapist | 1810 Nw 23rd Blvd Apt 263, Gainesville, FL 32605-3062 | 2019-08-21 |
| 1548446305 | Patrick James Patterson | Recreation Therapist | 1912 1/2 Nw 5th Ave, Gainesville, FL 32603-1538 | 2008-01-11 |
| 1861680480 | Daniel Alexander Lerch | Recreation Therapist | 1600 Sw Archer Rd # 117c, Gainesville, FL 32610-3003 | 2007-10-09 |
| 1255354858 | Jason Andrew Meredith | Recreation Therapist | North Florida/south Georgia Malcom Randall Vamc, 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2006-07-25 |
| 1922514454 | Roger Currier | Recreation Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2017-12-20 |
| 1982137634 | Shannon Lynn | Recreation Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2017-04-10 |
| 1750831582 | Adam Schaetzle | Recreation Therapist | 1601 S.w. Archer Road, North Florida / South Georgia Malcolm Randal Vamc, Gainesville, FL 32608-1197 | 2016-10-05 |
| 1639556947 | Michelle Jacinda Davis | Recreation Therapist | 1601 Sw Archer Rd # 11i, Gainesville, FL 32608-1135 | 2015-05-06 |
| 1396023578 | Matthew Leach | Recreation Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2011-07-22 |
| 1619279403 | Jeremy Newman | Recreation Therapist | 1601 Sw Archer Rd, 117c, Gainesville, FL 32608-1135 | 2010-11-30 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
Please comment or provide details below to improve the information on MRS. MARIBEL DELIA BRACKE.
| 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.