MS. OLIVIA VAN DE ROSTYNE (NPI# 1235607094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235607094 |
| Entity Type | Individual |
| Full Name | MS. OLIVIA VAN DE ROSTYNE |
| Credential | CTRS |
| Practice Address |
3754 W Indian Trail Rd Spokane WA 99208-4736 |
| Practice Telephone | 5093287041 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3754 W INDIAN TRAIL RD |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760435028 | Michael Jacks Mainer | Emergency Medicine | 3754 W Indian Trail Rd, Spokane, WA 99208-4700 | 2006-05-18 |
| 1376144360 | Kelsey Baycroft | Counselor | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-11-05 |
| 1881201648 | Cheri Ileen Brewster | Registered Nurse | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-09-25 |
| 1255943627 | Dylan Ramirez | Peer Specialist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-08-18 |
| 1366069304 | Mekel Aliace Strahan | Behavior Technician | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-06-25 |
| 1477179414 | Hind Alharbi | Behavior Technician | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-06-24 |
| 1376163659 | Anna Jayne Hubbell | Counselor | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-04-16 |
| 1609495704 | Marlena Lee Kennedy | Counselor | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-04-09 |
| 1417576661 | Ashley Senf | Behavior Technician | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-04-08 |
| 1013543438 | De'sean Dean | Behavior Technician | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| 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 |
|---|---|---|---|---|
| 1871192567 | Chelsey Michelle Pangborn | Recreation Therapist | 4815 N Assembly St Bldg 31, Spokane, WA 99205-6185 | 2020-10-22 |
| 1730653692 | John Welker | Recreation Therapist | 1312 N Monroe St Ste 114, Spokane, WA 99201-2623 | 2019-01-14 |
| 1689113631 | William Hawkes-robinson | Recreation Therapist | 1432 W Lawrence Dr, Spokane, WA 99218-2446 | 2017-02-22 |
| 1184066730 | Ann Christine Powell | Recreation Therapist | 4727 S Assembly Rd, Spokane, WA 99224-5925 | 2013-07-24 |
| 1104443746 | Danielle Lee Whitworth | Recreation Therapist | 1312 N Monroe St Ste 114, Spokane, WA 99201-2623 | 2020-06-30 |
| 1932617982 | Cathryn J Bouchard | Recreation Therapist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2018-01-11 |
| 1245746403 | Tanner J Johnson | Recreation Therapist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2017-12-22 |
| 1548794324 | Caitlynn Southerland | Recreation Therapist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2017-04-18 |
| 1790167278 | Elise Flores | Recreation Therapist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2015-06-22 |
| 1639118433 | Nancy Webster | Recreation Therapist | 711 S Cowley St, Spokane, WA 99202-1330 | 2006-06-06 |
| Find all providers in SPOKANE | ||||
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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.