NICOLE THOMAS (NPI# 1225543689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225543689 |
| Entity Type | Individual |
| Full Name | NICOLE THOMAS |
| Credential | CTRS |
| Practice Address |
4934 Luxemburg St Se Grand Rapids MI 49546-8406 |
| Mailing Address |
Po Box 1053 Ada MI 49301-1053 |
| Practice Telephone | 6168285492 |
| Practice Fax Number | 8552063270 |
| Mailing Telephone | 6168285492 |
| Mailing Fax Number | 8552063270 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374272 | Nicole Deidra Thomas | Behavior Technician | 605 Northlake Blvd Apt 30, Altamonte Springs, FL 32701-6159 | 2019-09-10 |
| 1992231856 | Nicole Thomas | Licensed Practical Nurse | 44 Streit Ave, Poughkeepsie, NY 12603-2322 | 2017-05-11 |
| 1033655311 | Nicole Ivory Thomas | Counselor | 6440 Sky Pointe Dr Ste 140, Las Vegas, NV 89131-4048 | 2017-01-11 |
| 1326497710 | Nicole Thomas | Licensed Practical Nurse | 80 Powers Lane, D, Rochester, NY 14624-4403 | 2016-06-07 |
| 1891151163 | Nicole A Thomas | Chiropractor | 418 Beavercreek Rd Ste 102, Oregon City, OR 97045-4287 | 2016-01-02 |
| 1841677275 | Nicole Thomas | Family Medicine | 530 Highland Station Dr. Suite 4001, Suwanee, GA 30024 | 2015-05-06 |
| 1407117773 | Nicole Christine Thomas | Home Health Aide | 2233 Chester St Se, Washington, DC 20020-5703 | 2012-06-04 |
| 1235496092 | Nicole T Thomas | Behavioral Analyst | 4201 Bridlepath Ct, Fredericksburg, VA 22408-8813 | 2012-04-18 |
| 1326373382 | Nicole Denise Thomas | Registered Nurse | 35975 Aurora Rd, Solon, OH 44139-3837 | 2009-10-08 |
| 1982881116 | Nicole Renee Thomas | Licensed Practical Nurse | 145 Jaclyn Dr, Syracuse, NY 13205-3259 | 2008-01-30 |
| Street Address |
4934 LUXEMBURG ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912240482 | Janna Kortman | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2013-04-02 |
| 1881256386 | Nina R Barcheski | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2019-07-03 |
| 1477052165 | Juliana Barla | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2018-02-07 |
| 1114329489 | Life Therapeutic Solutions, Inc | Community/Behavioral Health | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2014-09-18 |
| 1477955698 | Jennifer Ayre | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2014-09-18 |
| 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 | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891350153 | Brenna Joe Gallagher | Recreation Therapist | 414 Benson Ave Ne Apt 1444, Grand Rapids, MI 49503-0023 | 2019-05-02 |
| 1912240482 | Janna Kortman | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2013-04-02 |
| 1780933903 | Kristen Leigh Bouwma | Recreation Therapist | 1942 East Beltline Se, Grand Rapids, MI 49506 | 2012-09-04 |
| 1356583801 | Sara Elizabeth Rinke | Recreation Therapist | 1490 East Beltline Se, Grand Rapids, MI 49506 | 2009-03-30 |
| 1609404805 | Kimberly Eisenbarth | Recreation Therapist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-04-01 |
| 1558992438 | Kirsten Anne Vandermeer | Recreation Therapist | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-30 |
| 1194355834 | Rachael Nicole Nietling | Recreation Therapist | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1255961066 | Brittany Oom | Recreation Therapist | 475 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5600 | 2020-01-21 |
| 1962046441 | Lauren Anita Macke | Recreation Therapist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2019-10-29 |
| 1538701099 | Sarah Ann Spicer | Recreation Therapist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2019-10-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on NICOLE THOMAS.
| 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.