MISS STACI RAE BLEECKER (NPI# 1023556131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023556131 |
| Entity Type | Individual |
| Full Name | MISS STACI RAE BLEECKER |
| Credential | COTA/L |
| Practice Address |
905 Main St Lisbon ND 58054-4334 |
| Mailing Address |
11 N Main St Gwinner ND 58040-4001 |
| Practice Telephone | 7016836402 |
| Mailing Telephone | 7016782244 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1260 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
905 MAIN ST |
| City | LISBON |
| State | ND |
| Zip Code | 58054-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467918391 | Roberto A Wharton | Physical Medicine & Rehabilitation | 905 Main St, Lisbon, ND 58054-4334 | 2019-02-15 |
| 1831619105 | Sierra Devries | Registered Nurse | 905 Main St, Lisbon, ND 58054-4334 | 2017-06-27 |
| 1619407285 | Wayne Eugene Engelhard | Physical Therapist | 905 Main St, Lisbon, ND 58054-4334 | 2017-06-15 |
| 1184051971 | Lisbon Area Health Services | Clinic/Center | 905 Main St, Lisbon, ND 58054-4334 | 2013-10-11 |
| 1619288305 | Brent Michael Buchholz | Physician Assistant | 905 Main St, Lisbon, ND 58054-4334 | 2010-06-28 |
| 1659462901 | Lori Ann Hill | Nurse Practitioner | 905 Main St, Lisbon, ND 58054-4334 | 2006-09-28 |
| 1881620805 | Rudolf Loperena | Family Medicine | 905 Main St, Lisbon, ND 58054-4334 | 2006-06-23 |
| 1184613465 | Oscar Fernandez | Family Medicine | 905 Main St, Lisbon, ND 58054-4334 | 2005-10-19 |
| 1609872431 | Lisbon Area Health Services | General Acute Care Hospital | 905 Main St, Lisbon, ND 58054-4334 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275944407 | Dr Duane Krivarchka, Dds, PC | Clinic/Center | 11 11th Ave W, Lisbon, ND 58054 | 2014-05-09 |
| 1407999022 | Jodi Kae Sandness-rieger | Chiropractor | 15 - 11th Ave W, Lisbon, ND 58054 | 2007-02-14 |
| 1588724553 | First Medic Ambulance Service of Ransom County Inc | Ambulance | 1100 Oak St, Lisbon, ND 58054 | 2006-12-11 |
| 1558433227 | Tricia Ann Roesler | Dietitian, Registered | 403 Elm Street, Lisbon, ND 58054 | 2006-11-15 |
| 1417932823 | Meredith K Kelsen | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054 | 2005-12-08 |
| 1760021745 | Mobilityplus Rehabilitation, Ltd | Occupational Therapist | 802 Main St, Lisbon, ND 58054 | 2019-12-23 |
| 1811168958 | Lisbon Area Health Services | Emergency Medicine | 905 Main Street, Lisbon, ND 58054 | 2008-03-17 |
| 1992815294 | Ryan M Nelson | Dentist | 420 Main Street, Lisbon, ND 58054 | 2006-08-30 |
| 1952331159 | Family Medical Clinic PC | Family Medicine | 10 9th Ave E, Lisbon, ND 58054 | 2006-07-04 |
| 1477538775 | Barbara Sheets Olson | Family Medicine | 10 9th Ave E, Lisbon, ND 58054 | 2005-12-08 |
| Find all providers in zip 58054 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538587951 | Melissa Mellon | Occupational Therapy Assistant | 12381 Roller Coaster Rd, Lisbon, OH 44432-9511 | 2014-04-02 |
| 1063967222 | Kimberly Cole | Occupational Therapy Assistant | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2016-08-17 |
| 1407274814 | Heather Torhan | Occupational Therapy Assistant | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2014-04-02 |
| 1740607654 | Kimberly Johnson | Occupational Therapy Assistant | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2014-03-28 |
| 1053738112 | Deanna Nocera | Occupational Therapy Assistant | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2014-03-26 |
| 1114344462 | Cheryl Smith | Occupational Therapy Assistant | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2014-03-25 |
| 1902223647 | Shelly Mclaughlin | Occupational Therapy Assistant | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2014-03-19 |
| 1538586276 | Crystal Baker | Occupational Therapy Assistant | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2014-03-19 |
| 1548685167 | Carla Briggs | Occupational Therapy Assistant | 13093 State Route 7, Lisbon, OH 44432-9559 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891274890 | Nicholas David Schulz | Occupational Therapy Assistant | 3256 18th St S Apt 207, Fargo, ND 58104-6578 | 2018-08-09 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1174995898 | Kari Breker | Occupational Therapy Assistant | 10051 141st Ave Se, Havana, ND 58043-9716 | 2015-10-21 |
| 1255734422 | Leann Marie Montgomery | Occupational Therapy Assistant | 1721 27th Ave S, Fargo, ND 58103-5504 | 2014-10-02 |
| 1346657228 | Ashley Rutkowski | Occupational Therapy Assistant | 1505 11th St N, Wahpeton, ND 58075-3551 | 2014-07-12 |
| 1487099073 | Alyssa Bakken | Occupational Therapy Assistant | 2801 9th St N, Fargo, ND 58102-1350 | 2013-05-08 |
| 1932417938 | Lauren Erica Foss | Occupational Therapy Assistant | 911 19th Ave S, Fargo, ND 58103-4928 | 2010-09-24 |
| 1730358813 | Alaina Jo Walter | Occupational Therapy Assistant | 1504 Kuster Ct, Grand Forks, ND 58201-3909 | 2008-02-22 |
| 1760650865 | Brandon Scott Harvey | Occupational Therapy Assistant | 94 1st St, Hatton, ND 58240-0554 | 2008-02-12 |
| 1427255389 | Linda Rae Woyassek | Occupational Therapy Assistant | 428 7th St N, Wahpeton, ND 58075-4027 | 2007-07-02 |
| 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.