MRS. MICHELLE DECOOK (NPI# 1235393455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235393455 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE DECOOK |
| Credential | OTR/L |
| Practice Address |
703 E Maple Ave Newark NY 14513-1845 |
| Mailing Address |
2364 County Road 24 Clifton Springs NY 14432 |
| Practice Telephone | 3153311700 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 014914-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
703 E MAPLE AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104878123 | Thomas G Payyapilli | Pediatrics | 703 E Maple Ave, Newark, NY 14513-1845 | 2006-05-17 |
| 1417426818 | Elizabeth Hannah Grefrath | Social Worker | 703 E Maple Ave, Newark, NY 14513-1845 | 2018-11-15 |
| 1043660509 | State of New York Comptrollers Office | Clinic/Center | 703 E Maple Ave, Vienna Bldg, Newark, NY 14513-1845 | 2016-06-15 |
| 1154771616 | State of New York Comptrollers Office | Clinic/Center | 703 E Maple Ave, Tymeson Bldg, Newark, NY 14513-1845 | 2016-06-15 |
| 1417310541 | Michelle Jean Mcdonald | Physical Therapy Assistant | 703 E Maple Ave, Newark, NY 14513-1845 | 2016-04-05 |
| 1386761062 | Donna Marie Fairchild | Nutritionist | 703 E Maple Ave, Newark, NY 14513-1845 | 2007-03-26 |
| 1053438176 | Anne Marie Habeeb | Occupational Therapist | 703 E Maple Ave, Newark, NY 14513-1845 | 2007-03-23 |
| 1841315272 | Molly A Laprade | Dietitian, Registered | 703 E Maple Ave, Newark, NY 14513-1845 | 2007-03-21 |
| 1730203555 | Joanne C Speight | Nutritionist | 703 E Maple Ave, Newark, NY 14513-1845 | 2007-03-19 |
| 1255455093 | Karen Lee Vanderbrook | Dietitian, Registered | 703 E Maple Ave, Newark, NY 14513-1845 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689078313 | Eder Charles | Orthotic Fitter | 56 Clinton Pl, Newark, NJ 07108-1219 | 2014-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140576 | Anthony Cipriano | Orthotic Fitter | 130 Orinoco Dr, Brightwaters, NY 11718-1121 | 2018-10-17 |
| 1982065033 | Itamar Rosenbaum | Orthotic Fitter | 2102 63rd St, Brooklyn, NY 11204-3058 | 2016-03-17 |
| 1114395464 | Alejandro Aguilar | Orthotic Fitter | 314 Mccall Rd, Rochester, NY 14616 | 2015-09-03 |
| 1538489745 | Laura Bullinger | Orthotic Fitter | 4 David St, Middletown, NY 10940-2302 | 2010-06-10 |
| 1144552142 | Necuma Schaffer | Orthotic Fitter | 683 Bedford Ave., #3, Brooklyn, NY 11206 | 2010-02-02 |
| 1538498514 | Michael Feder | Orthotic Fitter | 3063 Brighton 13th St, Brooklyn, NY 11235-5607 | 2009-12-21 |
| 1568655454 | Alex Iskhakov | Orthotic Fitter | 3922 18th Ave, Brooklyn, NY 11218-5804 | 2007-08-23 |
| 1548467665 | Arthur Smuckler | Orthotic Fitter | 1659 Central Ave, Suite 113, Albany, NY 12205-4039 | 2007-07-02 |
| 1508068107 | Russell Shvartsshteyn | Orthotic Fitter | 1040 Channel Dr, Hewlett, NY 11557-2617 | 2007-06-05 |
| 1659414829 | Shirley Ann Dickinson | Orthotic Fitter | 1355 State Highway 345, Potsdam, NY 13676-9658 | 2007-02-15 |
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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.