STEFAN C.M. WICKLI (NPI# 1891342101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891342101 |
| Entity Type | Individual |
| Full Name | STEFAN C.M. WICKLI |
| Credential | CTRS |
| Practice Address |
1810 Nw 23rd Blvd Apt 263 Gainesville FL 32605-3062 |
| Practice Telephone | 2163088207 |
| Mailing Telephone | 2163088207 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 82256 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1810 NW 23RD BLVD APT 263 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| 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 |
|---|---|---|---|---|
| 1558971762 | Maribel Delia Bracke | Recreation Therapist | 1601 Sw Archer Rd # 117c, Gainesville, FL 32608-1135 | 2020-08-03 |
| 1548446305 | Patrick James Patterson | Recreation Therapist | 1912 1/2 Nw 5th Ave, Gainesville, FL 32603-1538 | 2008-01-11 |
| 1861680480 | Daniel Alexander Lerch | Recreation Therapist | 1600 Sw Archer Rd # 117c, Gainesville, FL 32610-3003 | 2007-10-09 |
| 1255354858 | Jason Andrew Meredith | Recreation Therapist | North Florida/south Georgia Malcom Randall Vamc, 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2006-07-25 |
| 1922514454 | Roger Currier | Recreation Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2017-12-20 |
| 1982137634 | Shannon Lynn | Recreation Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2017-04-10 |
| 1750831582 | Adam Schaetzle | Recreation Therapist | 1601 S.w. Archer Road, North Florida / South Georgia Malcolm Randal Vamc, Gainesville, FL 32608-1197 | 2016-10-05 |
| 1639556947 | Michelle Jacinda Davis | Recreation Therapist | 1601 Sw Archer Rd # 11i, Gainesville, FL 32608-1135 | 2015-05-06 |
| 1396023578 | Matthew Leach | Recreation Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2011-07-22 |
| 1619279403 | Jeremy Newman | Recreation Therapist | 1601 Sw Archer Rd, 117c, Gainesville, FL 32608-1135 | 2010-11-30 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on STEFAN C.M. WICKLI.
| 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.