MRS. TRACY LIN WONDERO (NPI# 1093292773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093292773 |
| Entity Type | Individual |
| Full Name | MRS. TRACY LIN WONDERO |
| Other Name | TRACY LIN WELCH |
| Credential | OTR/L |
| Practice Address |
G1069 N Ballenger Hwy Flint MI 48504-4431 |
| Mailing Address |
7263 Green Valley Dr Grand Blanc MI 48439-8142 |
| Practice Telephone | 8102356676 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201004210 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
G1069 N BALLENGER HWY |
| City | FLINT |
| State | MI |
| Zip Code | 48504-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429221 | Kith Haven Acquisition Company, LLC | Skilled Nursing Facility | G1069 N Ballenger Hwy, Flint, MI 48504-4431 | 2005-07-05 |
| 1710527676 | Sammara Riaz | Physical Therapist | G1069 N Ballenger Hwy, Flint, MI 48504-4431 | 2020-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| 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 |
|---|---|---|---|---|
| 1518564889 | Kristin Noel Hungerford | Occupational Therapist | 5103 W Pierson Rd Ste 3, Flint, MI 48504-1395 | 2020-10-08 |
| 1629694039 | Dpt Holdings LLC | Occupational Therapist | 1032 S Linden Rd Ste A, Flint, MI 48532-3458 | 2020-06-22 |
| 1124596226 | Michelle Lee Mckown | Occupational Therapist | 914 Dell Ave, Flint, MI 48507-2828 | 2018-11-06 |
| 1508374596 | Jennifer Trevorrow | Occupational Therapist | 4800 S Saginaw St Ste 1680, Flint, MI 48507-2677 | 2018-01-12 |
| 1952755985 | Hannah Seeley | Occupational Therapist | 1902 Greenbriar Ln, Flint, MI 48507-2284 | 2016-04-15 |
| 1851629125 | Amber Mayhew Homecare | Occupational Therapist | 5503 Mcnamara Lane, Flint, MI 48506 | 2009-11-25 |
| 1043464027 | Noel Lee Velarde | Occupational Therapist | 6360 Wreckenridge Rd, Flint, MI 48532-3233 | 2008-11-04 |
| 1780891184 | Karen Ann Carpenter | Occupational Therapist | G 4466 W. Bristol Road, Flint, MI 48507 | 2007-05-16 |
| 1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
| 1053526574 | William Lawrence Rushford | Occupational Therapist | Mclaren Regional Medical Center, 401 S Ballenger Hwy, Flint, MI 48532-3685 | 2007-05-10 |
| Find all providers in FLINT | ||||
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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.