AUDRA LOU KUPERUS (NPI# 1225503501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225503501 |
| Entity Type | Individual |
| Full Name | AUDRA LOU KUPERUS |
| Credential | COTAL |
| Practice Address |
3600 Fulton St E Grand Rapids MI 49546-1322 |
| Mailing Address |
6351 N Broadway Rd Freeport MI 49325-9712 |
| Practice Telephone | 6169494971 |
| Mailing Telephone | 6162129216 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202008414 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3600 FULTON ST E |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679516207 | Hackley Hospital | Nursing Facility/Intermediate Care Facility | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2006-06-13 |
| 1619441821 | Joyce K Arthur | Occupational Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2019-01-22 |
| 1003389800 | Leah Gibson | Occupational Therapist | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2019-01-04 |
| 1750857298 | Sarah Jeanne Rhodes | Physical Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-23 |
| 1477028827 | Reanna L Dawson | Occupational Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-11 |
| 1710452545 | Alex Lang | Speech-Language Pathologist | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-08 |
| 1598230419 | Terri Baughman-stephenson | Occupational Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-06 |
| 1851876064 | Matthew Grudzinskas | Physical Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-03 |
| 1912482316 | Katlyn Elizabeth Ribant | Occupational Therapy Assistant | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2018-10-02 |
| 1114477916 | Sarah Marie Edwards | Dietitian, Registered | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1508464785 | Shaun Watson | Occupational Therapy Assistant | 7272 Eastern Ave Se, Grand Rapids, MI 49508-7436 | 2020-10-11 |
| 1780182642 | Christine M Deyoung | Occupational Therapy Assistant | 2728 Oldepointe Dr Ne, Grand Rapids, MI 49525-3021 | 2018-01-25 |
| 1689052649 | Stephanie Lynn Daggett | Occupational Therapy Assistant | 200 Boltwood Dr Ne, Grand Rapids, MI 49505-3522 | 2015-05-11 |
| 1457609216 | Robin Verburg | Occupational Therapy Assistant | 74 Brewer Park Cir, Grand Rapids, MI 49548-7212 | 2012-08-27 |
| 1184868341 | Sara Vanderroest | Occupational Therapy Assistant | 3890 N Rosebud Dr Se, 5, Grand Rapids, MI 49512-9401 | 2009-04-30 |
| 1639703721 | Pamela Tanui | Occupational Therapy Assistant | 2161 Leonard St Nw, Grand Rapids, MI 49504-3829 | 2020-02-27 |
| 1225668296 | Allison Clare Jasch | Occupational Therapy Assistant | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-01-18 |
| 1902446727 | Katherine Root | Occupational Therapy Assistant | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-01-09 |
| 1356987051 | Gretchen Blahnik | Occupational Therapy Assistant | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2019-11-18 |
| 1417508094 | Sarah Tenckinck | Occupational Therapy Assistant | 1919 Boston St Se, Grand Rapids, MI 49506-4185 | 2019-09-24 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on AUDRA LOU KUPERUS.
| 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.