MRS. STACEY MARIE DESOUZA (NPI# 1295172914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295172914 |
| Entity Type | Individual |
| Full Name | MRS. STACEY MARIE DESOUZA |
| Practice Address |
360 Sherman St 470 Saint Paul MN 55102-2564 |
| Mailing Address |
360 Sherman St Ste 470 Saint Paul MN 55102-2988 |
| Practice Telephone | 6512096520 |
| Practice Fax Number | 6512096521 |
| Mailing Telephone | 6512096520 |
| Mailing Fax Number | 6512096521 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 102928 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
360 SHERMAN ST 470 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823440 | Walter Paul Gleich | Urology | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 | 2005-10-03 |
| 1730614538 | Sara Welch | Specialist/Technologist | 360 Sherman St, Suite 300, Saint Paul, MN 55102-2564 | 2017-04-29 |
| 1679016497 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 360 Sherman St, Suite 100, Saint Paul, MN 55102-2564 | 2016-11-28 |
| 1346693934 | Jenna Schoenrock | Occupational Therapist | 360 Sherman St, Saint Paul, MN 55102-2564 | 2016-07-19 |
| 1205200383 | Child Neurology Solutions Pllc | Psychiatry & Neurology | 360 Sherman St, Suite 399, Fort Road Medical Center, Saint Paul, MN 55102-2564 | 2015-11-30 |
| 1619354305 | Bobbi Jo Mugaas | Orthotist | 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 | 2015-05-01 |
| 1104163187 | Westlake Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 | 2013-01-10 |
| 1841552296 | Terese Marie Amble | Psychologist | 360 Sherman St, Suite 200, Saint Paul, MN 55102-2564 | 2012-06-12 |
| 1124309372 | Jennifer K Nelson | Physician Assistant | 360 Sherman St, Suite 250, Saint Paul, MN 55102-2564 | 2011-09-01 |
| 1467762823 | Leah Ann Amundson | Physical Therapist | 360 Sherman St, Saint Paul, MN 55102-2564 | 2010-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490628 | Dianna Knack | Occupational Therapist | 678 Snelling Ave S, Saint Paul, MN 55116-2600 | 2019-07-25 |
| 1578050753 | Erica Mc Nearney | Occupational Therapist | 360 Sherman St Ste 470, Saint Paul, MN 55102-2988 | 2018-04-13 |
| 1740787985 | Ka Neng Vue | Occupational Therapist | 589 Lawson Ave E, Saint Paul, MN 55130-3943 | 2018-04-12 |
| 1679937049 | Katelyn Meyers | Occupational Therapist | 740 Victoria St S, Saint Paul, MN 55102-4271 | 2016-04-11 |
| 1497144299 | Benjamin J Barrett | Occupational Therapist | 716 Hague Ave, Apt 7, Saint Paul, MN 55104-7228 | 2015-01-15 |
| 1780929851 | Courtney Nicole Kent | Occupational Therapist | 900 Ocean St, Saint Paul, MN 55106-3448 | 2012-11-30 |
| 1639437056 | Emmy K Vadnais | Occupational Therapist | 1294 Blair Ave, Saint Paul, MN 55104-2007 | 2012-04-24 |
| 1528374659 | Tamara Suzann Norris | Occupational Therapist | 614 5th St, Saint Paul, KS 66771-4012 | 2010-08-26 |
| 1124342985 | Sally Sue Meinecke | Occupational Therapist | 1005 Farnum St, Saint Paul, NE 68873-1913 | 2010-03-23 |
| 1568659829 | Erin Marie Kryzer | Occupational Therapist | 285 Brimhall St, Saint Paul, MN 55105-2427 | 2007-10-01 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on MRS. STACEY MARIE DESOUZA.
| 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.