CALEB JOHN MARVIN (NPI# 1649711102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649711102 |
| Entity Type | Individual |
| Full Name | CALEB JOHN MARVIN |
| Credential | CTRS |
| Practice Address |
7794 Paint Creek Dr Ypsilanti MI 48197-6139 |
| Mailing Address |
160 Whipple St South Lyon MI 48178-1114 |
| Practice Telephone | 7343523543 |
| Mailing Telephone | 9892059663 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 68419 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7794 PAINT CREEK DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-6139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275917841 | Sophie Devorah Lefevre | Recreation Therapist | 7794 Paint Creek Dr, Ypsilanti, MI 48197-6139 | 2015-07-14 |
| 1740846690 | Lauren Lawler | Music Therapist | 7794 Paint Creek Dr, Ypsilanti, MI 48197-6139 | 2019-05-16 |
| 1114415684 | Anna Roty | Recreation Therapist | 7794 Paint Creek Dr, Ypsilanti, MI 48197-6139 | 2018-04-30 |
| 1821521113 | Rebecca Mae Labo | Recreation Therapist | 7794 Paint Creek Dr, Ypsilanti, MI 48197-6139 | 2017-04-04 |
| 1518499425 | Tiffany Mae Vrabel | Recreation Therapist | 7794 Paint Creek Dr, Ypsilanti, MI 48197-6139 | 2017-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1467934349 | Rosemary Dahl | Recreation Therapist | 1363 Sweet Rd, Ypsilanti, MI 48198-7518 | 2018-09-06 |
| 1275917841 | Sophie Devorah Lefevre | Recreation Therapist | 7794 Paint Creek Dr, Ypsilanti, MI 48197-6139 | 2015-07-14 |
| 1063808020 | Timothy Kowalczyk | Recreation Therapist | 1358 Levona St, Ypsilanti, MI 48198-6440 | 2015-04-07 |
| 1558785766 | Gavin Carter | Recreation Therapist | 1936 Midvale St, Ypsilanti, MI 48197 | 2014-02-07 |
| 1790080059 | Jennifer Ann Gossett | Recreation Therapist | 1055 Cornell Street, Autism Collaborative Center, Ypsilanti, MI 48197 | 2011-01-18 |
| 1114415684 | Anna Roty | Recreation Therapist | 7794 Paint Creek Dr, Ypsilanti, MI 48197-6139 | 2018-04-30 |
| 1538686217 | Olivia M Doughty | Recreation Therapist | 32 N Washington St, Ypsilanti, MI 48197-2662 | 2017-08-24 |
| 1821521113 | Rebecca Mae Labo | Recreation Therapist | 7794 Paint Creek Dr, Ypsilanti, MI 48197-6139 | 2017-04-04 |
| 1518499425 | Tiffany Mae Vrabel | Recreation Therapist | 7794 Paint Creek Dr, Ypsilanti, MI 48197-6139 | 2017-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006728 | Tara Ann Fedewa | Recreation Therapist | 915 Laurelwood Dr, Lansing, MI 48917-7725 | 2020-09-08 |
| 1225651714 | Caroline Rose Marcon | Recreation Therapist | 15227 Payne Ct, Dearborn, MI 48126-3030 | 2020-05-19 |
| 1205469897 | Megan Groat | Recreation Therapist | 914 Lake Dr, Oxford, MI 48371-5716 | 2020-02-21 |
| 1215560040 | Ashley Melyn Phelps | Recreation Therapist | 6714 Northland Dr Ne, Rockford, MI 49341-9201 | 2020-02-20 |
| 1538708680 | Caylie Hosey | Recreation Therapist | 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 | 2020-01-06 |
| 1205480472 | Keilahna Castillo | Recreation Therapist | 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 | 2019-07-26 |
| 1134789514 | Cynthia Guzi | Recreation Therapist | 4469 Lutz Dr, Warren, MI 48092-1750 | 2019-06-18 |
| 1780244160 | Derenda Lefevre | Recreation Therapist | 3724 Noble Rd, Oxford, MI 48370-1514 | 2019-06-18 |
| 1407416886 | Jenna Black | Recreation Therapist | 28328 N Skye Dr, Farmington Hills, MI 48334-5335 | 2019-06-18 |
| 1225698608 | Carly Jane Rhodea | Recreation Therapist | 6906 Severance Rd, Cass City, MI 48726-9202 | 2019-06-18 |
| Find all providers with the same taxonomy | ||||
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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.