OUTSIDE OT L.L.C. (NPI# 1649878588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649878588 |
| Entity Type | Organization |
| Organization Name | OUTSIDE OT L.L.C. |
| Practice Address |
63999 Indian Trl Ray MI 48096-2516 |
| Practice Telephone | 3134388816 |
| Mailing Telephone | 3134388816 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | NICOLE GORDON (OWNER AND OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 3134388816 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | OPTIONAL | 000000000 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33662 James J Pompo Dr, Fraser, MI 480263466 | 3134388816 |
| Street Address |
63999 INDIAN TRL |
| City | RAY |
| State | MI |
| Zip Code | 48096-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588057194 | Laura Williams | Behavioral Analyst | 59680 North Ave, None, Ray, MI 48096 | 2015-03-07 |
| 1578730875 | Marilyn Pelletier Madajczyk | Registered Nurse | 21380 31 Mile Rd, Ray, MI 48096-1319 | 2008-05-15 |
| 1245708205 | Mary Therese Barnes | Behavior Technician | 64120 Wolcott Rd, Ray Twp, MI 48096-2432 | 2018-11-07 |
| 1730259235 | Cw Enterprises LLC | Community/Behavioral Health | 18021 28 Mile Rd, Ray, MI 48096-2942 | 2006-11-09 |
| 1477687309 | Arleathia Carol Wilson | Registered Nurse | 57400 Hayes Rd, Ray, MI 48096-3430 | 2007-03-15 |
| 1790978963 | Gary Frederick Wreford | Physical Therapist | 17470 27 Mile Rd, Ray, MI 48096-3509 | 2007-08-21 |
| 1558688275 | Mariea Elena Seefried | Occupational Therapist | 17470 27 Mile Rd, Ray, MI 48096-3509 | 2010-04-21 |
| 1326377003 | Wreford Rehabilitation Services LLC | Physical Therapist | 17470 27 Mile Rd, Ray, MI 48096-3509 | 2009-12-09 |
| 1972074953 | James L Murphy | Physical Therapist | 60360 Kunstman Rd, Ray, MI 48096-3615 | 2018-12-17 |
| 1275766404 | Gloria Jean Stevens | Lodging | 21051 27 Mile Rd, Ray, MI 48096-3700 | 2009-09-04 |
| Find all providers in zip 48096 | ||||
| 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 |
|---|---|---|---|---|
| 1558688275 | Mariea Elena Seefried | Occupational Therapist | 17470 27 Mile Rd, Ray, MI 48096-3509 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759065 | Jennifer Willoughby Vogtmann | Occupational Therapist | 22400 Hoffman St, Saint Clair Shores, MI 48082-1721 | 2020-11-01 |
| 1740889146 | Samaah Abboud Khanafer | Occupational Therapist | 1036 N Denwood St, Dearborn, MI 48128-1569 | 2020-10-19 |
| 1912505322 | Legacy Healhcare Services, Inc. | Occupational Therapist | 42400 W 12 Mile Rd, Novi, MI 48377-3027 | 2020-10-16 |
| 1023616216 | Elizabeth Trueblood | Occupational Therapist | 5664 Teton Trl, White Lake, MI 48383-4017 | 2020-10-12 |
| 1518564889 | Kristin Noel Hungerford | Occupational Therapist | 5103 W Pierson Rd Ste 3, Flint, MI 48504-1395 | 2020-10-08 |
| 1356948491 | Brittany N Nantais | Occupational Therapist | 48207 Lincoln Dr, Macomb, MI 48044-5013 | 2020-10-01 |
| 1578179065 | Mackenzie Gravelyn | Occupational Therapist | 10881 Marsh Ave, Allendale, MI 49401-9808 | 2020-09-20 |
| 1952913667 | Amber Lyn Hatcher | Occupational Therapist | 2682 Miller Rd, Tawas City, MI 48763-8619 | 2020-08-24 |
| 1639789092 | Matthew Horne | Occupational Therapist | 4356 Elizabeth St, Wayne, MI 48184-2154 | 2020-07-31 |
| 1508475047 | Lanee Arlett Wallace | Occupational Therapist | 45752 Utica Park Blvd, Utica, MI 48315-5950 | 2020-07-30 |
| 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.