URSULA KOTZABASSI (NPI# 1114330263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114330263 |
Entity Type | Individual |
Full Name | URSULA KOTZABASSI |
Other Name | URSULA KHAN |
Credential | OTRL |
Practice Address |
10909 Hannan Rd Romulus MI 48174-1383 |
Practice Telephone | 7348931031 |
Enumeration Date | 2014-06-06 |
Last Update Date | 2014-06-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
5201007237 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
10909 HANNAN RD |
City | ROMULUS |
State | MI |
Zip Code | 48174-1383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295773281 | Special Tree Rehabilitation Services Ltd | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2006-06-03 |
1649877986 | Special Tree Rehabilitation Services Ltd | Residential Treatment Facility, Physical Disabilities | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2020-10-08 |
1306443742 | Special Tree Neuro Care Center | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2020-10-08 |
1922655869 | Emilie Herpick | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
1740837681 | Kristin Overweg Claerhout | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
1629517701 | Special Tree Laboratory Service, LLC | Clinical Medical Laboratory | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2017-02-22 |
1639620024 | Jessica Hurlston | Psychologist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-10-20 |
1346695202 | Southeast Michigan Physicians Group | Specialist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-04-28 |
1851790414 | Denise Farris | Technician, Pathology | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2014-08-20 |
1114367737 | Susan Mclaren | Physician Assistant | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2013-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
Find all providers in zip 48174 |
Taxonomy Code | 225XN1300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Neurorehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548736457 | Pamela Outland Cunningham | Occupational Therapist | 9 Cambridge Blvd, Pleasant Ridge, MI 48069-1104 | 2018-10-17 |
1164614665 | Kathleen Grace | Occupational Therapist | 27525 Martindale Rd, New Hudson, MI 48165-9601 | 2007-08-17 |
1922168988 | Adele Locicero Vitale | Occupational Therapist | 422 Clinton St, Wyandotte, MI 48192-2620 | 2006-12-11 |
1538775325 | Adam L Hardy | Occupational Therapist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
1144862319 | Natalie Tabor | Occupational Therapist | 50 N Perry St, Pontiac, MI 48342-2217 | 2019-10-09 |
1477101921 | Corey M Youngs | Occupational Therapist | 3135 Professional Dr, Ann Arbor, MI 48104-5131 | 2019-08-28 |
1023676228 | Jarin Jaigirdar | Occupational Therapist | 9500 Grand River Ave, Detroit, MI 48204-2132 | 2019-06-03 |
1245897958 | Bogdana Darcohe | Occupational Therapist | 464 E Grand Blvd, Detroit, MI 48207-3637 | 2019-05-29 |
1992263768 | Debra Mcginnis and Associates PC | Occupational Therapist | 41880 Rayburn Dr, Northville, MI 48168-2085 | 2019-03-11 |
1710453592 | Melanie Plank | Occupational Therapist | 31215 Novi Rd, Novi, MI 48377-4515 | 2018-10-18 |
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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.