STACEY JABERG


Address: 3197 S 400 W, Peru, IN 46970-8889
Phone: 7654702388

STACEY JABERG (NPI# 1821653478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821653478
Entity Type Individual
Full Name STACEY JABERG
Practice Address 3197 S 400 W
Peru
IN 46970-8889
Practice Telephone 7654702388
Mailing Telephone 7654702388
Enumeration Date 2019-05-08
Last Update Date 2019-05-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3197 S 400 W
City PERU
State IN
Zip Code 46970-8889

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447896311 Christina M Van Meter Pharmacist 930 W Main St., Peru, IN 46970 2019-11-26
1821554585 Thomas Gilbert Reaves Counselor 5851 S. Us-31, Lot 47, Peru, IN 46970 2019-02-18
1104154863 American Foot and Ankle Inc Durable Medical Equipment & Medical Supplies 632 West Main Street, Peru, IN 46970 2009-11-18
1629208251 Rafik Farag Family Medicine 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 2009-07-16
1508076050 Peggy L Wert Occupational Therapy Assistant 850 Matador Drive, Peru, IN 46970 2007-05-23
1972690634 Sherif Elmasry Pediatrics 655 N Broadway, Peru, IN 46970 2006-10-06
1548357320 Belinda Diane Stonger Hearing Instrument Specialist 1 S. Broadway, Peru, IN 46970 2006-10-05
1134214083 American Health Network of Indiana, LLC Durable Medical Equipment & Medical Supplies 315 West Old Key Drive, Peru, IN 46970 2006-10-04
1710082409 Thomas J Guthrie Dentist 5 West Logan Street, Peru, IN 46970 2006-09-14
1750921938 Christina Russell Counselor 1000 N Broadway Ste A, Peru, IN 46970 2020-01-15
Find all providers in zip 46970

Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710508932 Erin Elizabeth Eaton Recreation Therapist 11807 Allisonville Rd # 104, Fishers, IN 46038-2313 2020-04-28
1467019059 Elizabeth Ann Holsopple Recreation Therapist 12727 20b Rd, Argos, IN 46501-9760 2019-05-20
1164890786 Rheta Denise Conner Recreation Therapist 247 N 600 E, Avilla, IN 46710-9616 2015-09-14
1124496096 Caroline Ann Kracium Recreation Therapist 8906 N 150 E, Ossian, IN 46777-9111 2015-09-09
1639319742 Heather Marie Souers Recreation Therapist 1100 S Paper Birch Ct, Bloomington, IN 47403-4584 2009-03-02
1861661464 Karen Rene' Thompson Recreation Therapist 3415 S Ashwood Dr, Bloomington, IN 47401-9763 2008-02-27
1699943555 Michelle Dincecco Greenawald Recreation Therapist 3306 Greyfox Dr, Valparaiso, IN 46383-2683 2008-02-13
1538372016 Lacey Lynne Robinson Recreation Therapist 11354 Mainsail Ct, Fishers, IN 46037-9150 2007-05-08
1902021751 Gigi M.georgianne Voorhies Recreation Therapist 410 S Westwood Dr, Bloomington, IN 47403-1781 2007-04-16
1598836637 Ginny L France Recreation Therapist 3827 Negley Ave, Evansville, IN 47715-1835 2006-11-12
Find all providers with the same taxonomy

Competitor

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City PERU
Zip Code 46970

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Dataset Information

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.

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