MRS. MITZIE MARION COLET MICKELSON (NPI# 1801408802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801408802 |
| Entity Type | Individual |
| Full Name | MRS. MITZIE MARION COLET MICKELSON |
| Credential | OTR/L, CPAM |
| Practice Address |
511 W 10th St Ne Rome GA 30165-2652 |
| Mailing Address |
1501 Summer Gate Way Apt 12 Dalton GA 30720-5385 |
| Practice Telephone | 7062350807 |
| Mailing Telephone | 4082184635 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT004641 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
511 W 10TH ST NE |
| City | ROME |
| State | GA |
| Zip Code | 30165-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| 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 |
|---|---|---|---|---|
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1821510439 | Brianna Giruzzi | Occupational Therapist | 806 N James St, Rome, NY 13440-3525 | 2017-07-14 |
| 1518418409 | Independent Physical Therapy of Georgia, LLC | Occupational Therapist | 330 Turner Mccall Blvd Sw Ste 2000, Rome, GA 30165-5618 | 2016-10-17 |
| 1851848717 | Shelby L Fox | Occupational Therapist | 5244 Rome Taberg Rd, Rome, NY 13440-1724 | 2016-09-07 |
| 1366821050 | Lisa G Gilmore | Occupational Therapist | 211 W Sycamore St, Rome, NY 13440-2745 | 2015-05-27 |
| 1780094623 | Susan Bvirakare | Occupational Therapist | 2 Archway Ct Se, Rome, GA 30161-2183 | 2014-04-30 |
| 1437589116 | Independent Physical Therapy of Georgia, LLC | Occupational Therapist | 463 Turner Mccall Blvd Ne, Rome, GA 30165-2735 | 2013-11-18 |
| 1295002731 | Andrea Rounds | Occupational Therapist | 401 Turin St, Rome, NY 13440-3314 | 2011-11-29 |
| 1598058109 | Annette J Granato | Occupational Therapist | 8194 Bielby Rd, Rome, NY 13440-1915 | 2011-05-16 |
| 1295025401 | Deron Bellcase | Occupational Therapist | 520 E 8th St Se, Rome, GA 30161-6208 | 2011-04-10 |
| Find all providers in ROME | ||||
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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.