KODI SUE HUMPHREY


Address: 1222 North Dr, Mount Pleasant, MI 48858-3200
Phone: 9897722957

KODI SUE HUMPHREY (NPI# 1124640669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124640669
Entity Type Individual
Full Name KODI SUE HUMPHREY
Practice Address 1222 North Dr
Mount Pleasant
MI 48858-3200
Mailing Address 2217 Carolina St
Midland
MI 48642-5776
Practice Telephone 9897722957
Mailing Telephone 9895136410
Enumeration Date 2020-05-06
Last Update Date 2020-05-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 5201010828 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1222 NORTH DR
City MOUNT PLEASANT
State MI
Zip Code 48858-3200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497385116 Elizabeth Rose Dorman Occupational Therapy Assistant 1222 North Dr, Mount Pleasant, MI 48858-3200 2020-01-22
1962863506 Justin Joseph Kunik Occupational Therapist 1222 North Dr, Mount Pleasant, MI 48858-3200 2016-03-09
1073986196 Maria Lamerato Physical Therapist 1222 North Dr, Mount Pleasant, MI 48858-3200 2015-11-11
1750785515 Sarah Dawn Elliott Occupational Therapy Assistant 1222 North Dr, Mount Pleasant, MI 48858-3200 2014-10-22
1659785160 Carrie Youssef Occupational Therapy Assistant 1222 North Dr, Mount Pleasant, MI 48858-3200 2014-06-12
1003113317 Harpreet Singh Physical Therapist 1222 North Dr, Mount Pleasant, MI 48858-3200 2011-02-23
1720381718 Ashley Sue Robinson Physical Therapy Assistant 1222 North Dr, Mount Pleasant, MI 48858-3200 2010-12-13
1124328190 Laura E Mcginnis Occupational Therapy Assistant 1222 North Dr, Mount Pleasant, MI 48858-3200 2010-10-25
1346472610 Paulette Schubart Physical Therapist 1222 North Dr, Mount Pleasant, MI 48858-3200 2009-08-19
1982834149 Sara Lynn Henry Occupational Therapist 1222 North Dr, Mount Pleasant, MI 48858-3200 2009-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535067 Family Tree Maternity Center, LLC Midwife 5201 S. Mission Rd., Mt. Pleasant, MI 48858 2020-10-14
1942842471 Isabella Citizens for Health, Inc. Pharmacy 2790 Health Parkway, Mt Pleasant, MI 48858 2019-10-16
1295299279 Dalten Tyler Simnitch Student in an Organized Health Care Education/Training Program 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 2019-01-24
1942773809 Jordan Lynn Bell Technician, Other 798 S Whilteville Rd, Mount Pleasant, MI 48858 2019-01-03
1083183578 Amanda Danielle Greene Student in an Organized Health Care Education/Training Program 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 2018-11-14
1891264388 Emily Mccullen Student in an Organized Health Care Education/Training Program 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 2018-11-14
1174092662 Nathaniel Lambie Student in an Organized Health Care Education/Training Program 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 2018-11-14
1386110872 Megan Stahl Social Worker 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 2018-10-23
1710461090 Beverly Jean Medford Custodial Care Facility 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 2018-09-21
1760976211 Jen Carlesimo Behavior Technician Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 2018-06-19
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053933051 Marisa Capobianco Occupational Therapist 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406-4402 2020-05-12
1184254336 Kristiana R Maggard Occupational Therapist 10180 Washington Ave # 107, Mount Pleasant, WI 53177-1604 2020-01-16
1427575091 Advantage Home Therapy, LLC Occupational Therapist 505 Belle Hall Pkwy Unit 101, Mount Pleasant, SC 29464-8326 2017-08-24
1184145880 Katherine Carew Young Occupational Therapist 1122 Camellia Dr, Mount Pleasant, SC 29464-4007 2017-07-03
1861936494 Chelsey Harper Occupational Therapist 1360 Appling Dr, Unit #208, Mount Pleasant, SC 29464-4798 2016-12-16
1295278125 Kasey Neely Occupational Therapist 1305 Carol Oaks Dr, Mount Pleasant, SC 29466-6501 2016-11-26
1295175545 Heather Kay Debruin Occupational Therapist 1255 N Sunnyslope Dr Unit 203, Mount Pleasant, WI 53406-3485 2013-07-01
1356619167 Rachel Renae Lake Occupational Therapist 85c Vincent Dr, Mount Pleasant, SC 29464-4030 2011-12-07
1518245000 Lindsay Erin Kale Occupational Therapist 1121 Park West Blvd # 144b, Mount Pleasant, SC 29466-7122 2011-08-01
1336447036 Lighthouse Pediatric Therapy, LLC Occupational Therapist 932 Equestrian Dr, Mount Pleasant, SC 29464-3608 2011-03-03
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City MOUNT PLEASANT
Zip Code 48858

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Dataset Information

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.

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