NICHOLAS PAUL GERASIMOFF


Address: 22731 Newman St Ste 100b, Dearborn, MI 48124-2023
Phone: 3137910616

NICHOLAS PAUL GERASIMOFF (NPI# 1285932012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285932012
Entity Type Individual
Full Name NICHOLAS PAUL GERASIMOFF
Credential OTRL
Practice Address 22731 Newman St Ste 100b
Dearborn
MI 48124-2023
Mailing Address 12560 Jelso Pl
Tecumseh
ONTARIO N8N4H4
CA
Practice Telephone 3137910616
Practice Fax Number 3137910632
Mailing Telephone 5197351898
Enumeration Date 2011-03-02
Last Update Date 2011-03-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 5201007912 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 22731 NEWMAN ST STE 100B
City DEARBORN
State MI
Zip Code 48124-2023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063973444 Kristie Jenshuan Hsieh Occupational Therapist 22731 Newman St Ste 100b, Dearborn, MI 48124-2023 2019-03-27
1750877627 Michigan Surgery Specialists, P.C. Prosthetic/Orthotic Supplier 22731 Newman St Ste 100b, Dearborn, MI 48124 2018-07-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740889146 Samaah Abboud Khanafer Occupational Therapist 1036 N Denwood St, Dearborn, MI 48128-1569 2020-10-19
1235611823 Trudy Bazzy Occupational Therapist 5111 Fairlane Woods Dr, Dearborn, MI 48126-2612 2018-08-30
1144721101 Renee P Coughlin Occupational Therapist 19401 Hubbard Dr Ste 201, Dearborn, MI 48126-2641 2018-02-26
1508371493 Nucare Therapy, LLC Occupational Therapist 4700 Greenfield Rd Ste 2b, Dearborn, MI 48126-4124 2017-12-13
1497282495 Alyssa Martino Occupational Therapist 5141 Oakman Blvd Ste D, Dearborn, MI 48126-3763 2017-05-22
1003354341 Samantha Baker Occupational Therapist 22731 Newmand Street, Suite 100b, Dearborn, MI 48124 2017-02-07
1417311184 Advanced Balance Clinic LLC Occupational Therapist 1063 Walnut St, Dearborn, MI 48124-4019 2016-04-08
1083001697 Melanie Ward Occupational Therapist 20469 Outer Dr, Dearborn, MI 48124-2641 2015-04-21
1972725604 Margaret Amm Brennan Occupational Therapist 18700 Audette St, Dearborn, MI 48124-4222 2007-05-03
1366503187 Sheila Lynn-kernodle Norwood Occupational Therapist 326 Berkley St, Dearborn, MI 48124-1304 2006-12-13
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City DEARBORN
Zip Code 48124

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Dataset Information

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.

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