KAREN A DETRICK (NPI# 1316259898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316259898 |
| Entity Type | Individual |
| Full Name | KAREN A DETRICK |
| Credential | COTA |
| Practice Address |
1040 Pilgram Way Woodside Senior Communities Green Bay WI 54304 |
| Practice Telephone | 9204053522 |
| Practice Fax Number | 9204053523 |
| Mailing Telephone | 9204053522 |
| Mailing Fax Number | 9204053523 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 883-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1040 PILGRAM WAY WOODSIDE SENIOR COMMUNITIES |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699299909 | Danielle Bertrand | Occupational Therapy Assistant | 1040 Pilgram Way, Green Bay, WI 54304 | 2017-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| 1609069608 | Linda Marie Socker | Occupational Therapist | 812 S Fisk Street, Suite 109, Green Bay, WI 54304 | 2007-08-22 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326574344 | Amy Demaio | Occupational Therapy Assistant | 1695 Crooks St, Green Bay, WI 54302-2853 | 2017-05-11 |
| 1164696696 | Lori Ann Hess-rosio | Occupational Therapy Assistant | 2501 Wood Ln, Green Bay, WI 54313-7850 | 2008-04-16 |
| 1578736302 | Janice Mary Strei | Occupational Therapy Assistant | 2100 Cormorant Ln, Green Bay, WI 54313-4015 | 2008-04-14 |
| 1275706863 | Denece Ann Lorfeld | Occupational Therapy Assistant | 4736 Nicolet Dr, Green Bay, WI 54311-9111 | 2008-04-04 |
| 1386744217 | Teresa Westberg | Occupational Therapy Assistant | 2100 Riverside Drive, Green Bay, WI 54301 | 2006-09-22 |
| 1982259123 | Marisa Albers | Occupational Therapy Assistant | 1760 Shawano Ave, Green Bay, WI 54303-3216 | 2019-08-05 |
| 1831742386 | Samantha Wood | Occupational Therapy Assistant | 1760 Shawano Ave, Green Bay, WI 54303-3216 | 2019-07-23 |
| 1336648732 | Sarah Dallas | Occupational Therapy Assistant | 2801 S Webster Ave, Green Bay, WI 54301-2878 | 2018-02-12 |
| 1831697895 | Jessika Rose Wildenberg | Occupational Therapy Assistant | 1207 S Jackson St, Green Bay, WI 54301-3037 | 2018-01-24 |
| 1629580402 | Reanna Jean Momber | Occupational Therapy Assistant | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2017-11-01 |
| Find all providers in GREEN BAY | ||||
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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.