TERESA DEYOUNG (NPI# 1043668247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043668247 |
| Entity Type | Individual |
| Full Name | TERESA DEYOUNG |
| Credential | COTA |
| Practice Address |
5401 Portage Rd Portage MI 49002-1797 |
| Mailing Address |
1490 E Beltline Ave Se Grand Rapids MI 49506-4336 |
| Practice Telephone | 2693727725 |
| Mailing Telephone | 6169400040 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202008106 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1490 E Beltline Ave Se, Grand Rapids, MI 495064336 | 6169400040 | |
| 5990 Venture Park Dr, Kalamazoo, MI 490091858 | 8554077575 |
| Street Address |
5401 PORTAGE RD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| 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 |
|---|---|---|---|---|
| 1629214630 | Rebecca J Spaeth | Occupational Therapy Assistant | 130 W Carroll St, Portage, WI 53901-1716 | 2008-12-22 |
| 1134774813 | Peggy Dalton | Occupational Therapy Assistant | 2805 Hunters Trl, Portage, WI 53901-3429 | 2019-08-08 |
| 1316590417 | Nicole Rae Sletten | Occupational Therapy Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-18 |
| 1730731175 | Samantha Ann Shields | Occupational Therapy Assistant | 2805 Hunters Trl, Portage, WI 53901-3429 | 2019-07-16 |
| 1538598669 | Susie Weber | Occupational Therapy Assistant | 7855 Currier Dr, Portage, MI 49002-4314 | 2013-11-08 |
| 1376972828 | Aaron Romig | Occupational Therapy Assistant | 7855 Currier Dr, Portage, MI 49002-4314 | 2013-11-05 |
| 1467780478 | Amy S Hall | Occupational Therapy Assistant | 2817 New Pinery Rd, Suite 103, Portage, WI 53901-9240 | 2009-12-02 |
| 1558593038 | Trainia Denice Caldwell | Occupational Therapy Assistant | 6873 Mercedes Ave, Portage, IN 46368-2542 | 2009-08-17 |
| 1326292103 | Kay M Nigbor | Occupational Therapy Assistant | 626 E Slifer St, Portage, WI 53901-1224 | 2008-11-06 |
| 1215194626 | Jacob's Ladder First Steps Program | Occupational Therapy Assistant | 3325 Willowcreek Rd, Portage, IN 46368-5015 | 2008-05-22 |
| Find all providers in PORTAGE | ||||
Please comment or provide details below to improve the information on TERESA DEYOUNG.
| 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.