VICKY LYNN EIKENBERRY (NPI# 1184995169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184995169 |
| Entity Type | Individual |
| Full Name | VICKY LYNN EIKENBERRY |
| Credential | COTA |
| Practice Address |
4554 W 48th St Fremont MI 49412-8721 |
| Practice Telephone | 2319249295 |
| Practice Fax Number | 2319249371 |
| Mailing Telephone | 2319249295 |
| Mailing Fax Number | 2319249371 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5202007029 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4554 W 48TH ST |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-8721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942248836 | Fremont Healthcare LLC | Skilled Nursing Facility | 4554 W 48th St, Fremont, MI 49412-8721 | 2006-06-03 |
| 1366076549 | Javiera P. Henriquez | Speech-Language Pathologist | 4554 W 48th St, Fremont, MI 49412-8721 | 2020-02-26 |
| 1821412214 | Kourtney Snyder | Occupational Therapy Assistant | 4554 W 48th St, Fremont, MI 49412-8721 | 2014-02-06 |
| 1184050189 | Heath C.r. Moore | Physical Therapy Assistant | 4554 W 48th St, Fremont, MI 49412-8721 | 2013-09-23 |
| 1487080842 | Mary Grace Lagare | Physical Therapist | 4554 W 48th St, Fremont, MI 49412-8721 | 2013-09-17 |
| 1881939221 | April N Vanbeek | Occupational Therapy Assistant | 4554 W 48th St, Fremont, MI 49412-8721 | 2012-12-11 |
| 1821369992 | Amie Spangler | Speech-Language Pathologist | 4554 W 48th St, Fremont, MI 49412-8721 | 2012-01-22 |
| 1548531601 | Michele Lee Dart | Physical Therapy Assistant | 4554 W 48th St, Fremont, MI 49412-8721 | 2012-01-21 |
| 1306117445 | Laura Lee Thompson | Occupational Therapy Assistant | 4554 W 48th St, Fremont, MI 49412-8721 | 2012-01-20 |
| 1902177033 | Tianna Lynn Burns | Occupational Therapy Assistant | 4554 W 48th St, Fremont, MI 49412-8721 | 2012-01-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
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| 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 |
|---|---|---|---|---|
| 1902445349 | Janvi Vasani | Occupational Therapist | 34789 Mosaic Cmn, Fremont, CA 94555-3732 | 2020-01-02 |
| 1922514124 | Jason Kakuzo Ichimaru | Occupational Therapist | 33731 Pistol Ct, Fremont, CA 94555-2066 | 2017-12-26 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1376900241 | Diane Gloeb | Occupational Therapist | 2647 Skylark St, Fremont, NE 68025-6453 | 2016-01-24 |
| 1407233083 | Angelica Pham | Occupational Therapist | 4466 Bush Cir, Fremont, CA 94538-5991 | 2015-05-02 |
| 1912396763 | Novus Therapy Solutions, Inc. | Occupational Therapist | 5242 Reeder Ct, Fremont, CA 94536-7105 | 2015-01-16 |
| 1205225562 | Sally Chalikonda | Occupational Therapist | 37250 Sequoia Cmn Apt 3030, Fremont, CA 94536-1930 | 2015-01-09 |
| 1558759050 | Shubha Chandrashekhar | Occupational Therapist | 39600 Fremont Blvd # 60-16, Fremont, CA 94538-2112 | 2015-01-06 |
| 1851789986 | Atriza Collantes-noble | Occupational Therapist | 38583 Royal Ann Cmn, Fremont, CA 94536-4215 | 2014-12-23 |
| 1841698040 | Priti Shukla | Occupational Therapist | 41568 Paseo Padre Pkwy, Fremont, CA 94539-4527 | 2014-12-21 |
| Find all providers in FREMONT | ||||
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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.