MRS. TARA LYNN OPACZEWSKI (NPI# 1164986477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164986477 |
| Entity Type | Individual |
| Full Name | MRS. TARA LYNN OPACZEWSKI |
| Other Name | MISS TARA LYNN SKARSKI |
| Credential | COTA/L |
| Practice Address |
17495 Dugdale Dr South Bend IN 46635-1545 |
| Practice Telephone | 5742477500 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17495 DUGDALE DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386149961 | Mona Arora | Physical Therapist | 17495 Dugdale Dr, South Bend, IN 46635-1545 | 2018-03-27 |
| 1750940276 | Tori Birky | Physical Therapy Assistant | 17495 Dugdale Dr, South Bend, IN 46635-1545 | 2019-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| 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 |
|---|---|---|---|---|
| 1295270411 | Kelly Jenkins | Occupational Therapy Assistant | 1231 Woodfield Ave, South Bend, IN 46615-3803 | 2016-12-23 |
| 1861757767 | Mackenzie Lucius | Occupational Therapy Assistant | 2012 Ironwood Cir Ste 230, South Bend, IN 46635-1889 | 2012-07-07 |
| 1407120546 | Leah Paule Walker | Occupational Therapy Assistant | 23060 Benson Ct, South Bend, IN 46628-9040 | 2012-03-07 |
| 1649541558 | Tadesa Allen | Occupational Therapy Assistant | 1006 N Brookfield St, South Bend, IN 46628-2604 | 2012-01-24 |
| 1043542780 | Michelle Barkley | Occupational Therapy Assistant | 738 S 28th St, South Bend, IN 46615-2222 | 2010-02-05 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1003071960 | Sarina Sherry | Occupational Therapy Assistant | 52270 Myrtle Ave, South Bend, IN 46637-3834 | 2008-07-21 |
| 1447439625 | Christopher J Hipsher | Occupational Therapy Assistant | 926 E Wayne St, South Bend, IN 46617-3000 | 2007-10-24 |
| 1114528437 | Montana M Hunter | Occupational Therapy Assistant | 17475 Dugdale Dr, South Bend, IN 46635-1545 | 2020-11-03 |
| 1114526589 | Rebecca Ann Chilcote | Occupational Therapy Assistant | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-10-18 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
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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.