MS. LAUREN MICHELLE MATTALIANO


Address: 540 E. Milham Road, Portage, MI 49002
Phone: 2693811880

MS. LAUREN MICHELLE MATTALIANO (NPI# 1154689404) 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) 1154689404
Entity Type Individual
Full Name MS. LAUREN MICHELLE MATTALIANO
Credential MOT, OTR
Practice Address 540 E. Milham Road
Portage
MI 49002
Mailing Address 540 E Milham Road
Portage
MI 49002
Practice Telephone 2693811880
Practice Fax Number 2693811850
Mailing Telephone 2693811880
Mailing Fax Number 2693811850
Enumeration Date 2012-04-24
Last Update Date 2012-04-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
5201008062 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 540 E. MILHAM ROAD
City PORTAGE
State MI
Zip Code 49002

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1548620537 Patricia Eid Behavioral Analyst 1016 E Milham Ave, Suite 2, Portage, MI 49002 2016-03-03
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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
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831457142 Kinetic Kids, LLC Occupational Therapist 540 East Milham, Portage, MI 49002 2012-04-25
1881961738 Molly Foley Shannon LLC Occupational Therapist 50 Aspen Rd, Portage, IN 46368-1027 2011-11-21
1386687861 Karen Sue Galloway Occupational Therapist 5124 S Sprinkle Rd, Portage, MI 49002-2055 2006-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134747504 Madeline Rose Christensen Occupational Therapist 3991 Vendome Dr, Auburn Hills, MI 48326-1865 2020-07-11
1609429323 Willow Integrated Therapy, LLC Occupational Therapist 4121 Jackson Rd, Ann Arbor, MI 48103-1827 2019-07-22
1730745753 Danielle Marie Hackert Occupational Therapist 2125 43rd St Se # Aptk-12, Grand Rapids, MI 49508-3773 2019-05-15
1780143735 Olivia Hicks Occupational Therapist 2378 Woodlake Dr Ste 240, Okemos, MI 48864-6015 2019-03-19
1063986693 Lani Jakovac Occupational Therapist 13500 Pine St, Taylor, MI 48180-4613 2019-01-16
1144799669 Holly Cieslinski Occupational Therapist 3550 Fairlines Ave, Grandville, MI 49418 2018-11-14
1770074924 Francesca Wagner Occupational Therapist 42700 Garfield Rd Ste 110, Clinton Twp, MI 48038-4201 2018-05-23
1972026680 Stacey Lesnick Beyer Occupational Therapist 1810 Chartwell Dr., Traverse City, MI 49696 2017-07-25
1326585316 Bright Connections Occupational Therapy LLC Occupational Therapist 1243 Blue Heron Dr, Highland, MI 48357-3909 2017-01-27
1982150108 Ruth A White Occupational Therapist 14210 Dixie, Redford, MI 48239-2874 2016-08-28
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City PORTAGE
Zip Code 49002

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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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