STEPHANIE ANNE WISE (NPI# 1811439581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811439581 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANNE WISE |
| Credential | OTRL |
| Practice Address |
3727 Wilder Rd Bay City MI 48706-2367 |
| Practice Telephone | 9899899747 |
| Practice Fax Number | 8885273589 |
| Mailing Telephone | 9899809747 |
| Mailing Fax Number | 8885273589 |
| Enumeration Date | 2016-11-13 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201009041 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10074 Blue Jay Dr, Freeland, MI 486238670 | 9894307466 | |
| 317 Sandy Ridge Ct, Midland, MI 486403412 | 9894307466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851614606 | Stephanie L Wise | Specialist/Technologist | 100 Gore St., Huntland, TN 37345 | 2010-03-09 |
| 1205460953 | Stephanie Nicole Wise | Marriage & Family Therapist | 2828 Ford St, Oakland, CA 94601-2114 | 2020-03-02 |
| 1821505728 | Stephanie Wise | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2018-01-02 |
| 1881053148 | Stephanie Wise | Occupational Therapist | 119 W H Ave, North Little Rock, AR 72116-8733 | 2016-02-15 |
| 1992170724 | Stephanie Wise | Speech-Language Pathologist | 1202 Lakeway Dr Ste 6a, Lakeway, TX 78734-4481 | 2015-12-04 |
| 1669865911 | Stephanie Poling Wise | Nurse Anesthetist, Certified Registered | 20 Medical Village Dr, Suite 258, Edgewood, KY 41017-5401 | 2015-03-11 |
| 1508149048 | Stephanie M Wise | Nurse Practitioner | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2011-09-21 |
| 1932406964 | Stephanie Graham Wise | Pharmacist | 423 W Main St, Lexington, SC 29072-2637 | 2011-02-28 |
| Street Address |
3727 WILDER RD |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225684475 | Parker Majeske | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2019-08-14 |
| 1235785486 | Allyce Siniff | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2019-08-14 |
| 1679132864 | Melinda Ross | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2019-06-11 |
| 1922667112 | Brianna Ruiz | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2019-06-11 |
| 1316506504 | Maya Olgac | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2019-06-11 |
| 1962066381 | Stacie Kussro | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2019-05-01 |
| 1174097380 | Breian Vanhaaren | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2019-01-22 |
| 1063984896 | Krystal Lynn Reeves | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2018-12-18 |
| 1700357795 | Alexis Elizabeth Lang | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2018-12-17 |
| 1205304250 | Olivia Williams | Behavior Technician | 3727 Wilder Rd, Bay City, MI 48706-2367 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| 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 |
|---|---|---|---|---|
| 1285145128 | Heather Ann Pestrue | Occupational Therapist | 163 S Green Rd, Bay City, MI 48708-9216 | 2017-10-18 |
| 1700326071 | Allissa Smith | Occupational Therapist | 3850 4 Mile Rd, Bay City, MI 48706-9446 | 2017-03-06 |
| 1972049898 | Denae Asel-templin | Occupational Therapist | 9 E Main St Unit 208, Bay City, MI 48708-6553 | 2017-01-17 |
| 1407301948 | Daniel O'shea | Occupational Therapist | 1001 S Monroe St, Bay City, MI 48708-7214 | 2016-08-24 |
| 1922471309 | Elizabeth Wise | Occupational Therapist | 4844 Dorey Dr, Bay City, MI 48706-2618 | 2015-11-05 |
| 1518340512 | Laura Carpenter | Occupational Therapist | 812 Sidney St, Bay City, MI 48706-3873 | 2015-07-08 |
| 1306244736 | Scott Staszak II | Occupational Therapist | 3727 Wilder Rd Ste A&b, Bay City, MI 48706-2367 | 2014-12-17 |
| 1144620204 | Laura Bates | Occupational Therapist | 811 Saginaw St, Bay City, MI 48708-5612 | 2014-08-26 |
| 1821385212 | Kevin Smith | Occupational Therapist | 3707 Katalin Court, Bay City, MI 48706-2161 | 2011-07-06 |
| 1396929386 | Aimee Rabidoux | Occupational Therapist | 1311 N Trumbull St, Bay City, MI 48708-6362 | 2007-12-26 |
| Find all providers in BAY CITY | ||||
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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.