MELISSA A BLAKE (NPI# 1386124139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386124139 |
| Entity Type | Individual |
| Full Name | MELISSA A BLAKE |
| Credential | OTR |
| Practice Address |
3257 Whitfield Ct Waterford MI 48329 |
| Mailing Address |
3257 Whitfield Ct Waterford MI 48329-2769 |
| Practice Telephone | 2484123826 |
| Mailing Telephone | 2484123826 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201007148 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3257 Whitfield Ct, Waterford, MI 483292769 | 2484123826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425651 | Melissa Lynn Blake | Nurse Practitioner | 8200 W 71st St Ste 135, Shawnee Mission, KS 66204-1715 | 2019-03-07 |
| 1356762298 | Melissa S. Blake | Licensed Practical Nurse | 58 Ethan Cir, Middle Island, NY 11953-2644 | 2013-12-19 |
| 1972052157 | Melissa Blake | Speech-Language Pathologist | 1924 W A St, Hastings, NE 68901-5650 | 2016-09-28 |
| 1740655653 | Melissa Beth Blake | Physician Assistant | 2176 Salk Ave, Carlsbad, CA 92008 | 2015-12-02 |
| 1801275946 | Melissa Kathleen Blake | Dentist | 1924 Route 70 E, Cherry Hill, NJ 08003 | 2015-05-21 |
| 1548507882 | Melissa Blake | Counselor | 2825 Santa Monica Blvd, Suite 100, Santa Monica, CA 90404-2429 | 2013-01-07 |
| 1770734048 | Melissa Elaine Blake | Social Worker | 60 Perserverance Way, Hyannis, MA 02601-1843 | 2008-10-06 |
| Street Address |
3257 WHITFIELD CT |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| 1881767200 | Jeffrey S Ingber | Dentist | 4664 W Walton, Waterford, MI 48329 | 2006-11-15 |
| Find all providers in zip 48329 | ||||
| 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 |
|---|---|---|---|---|
| 1467913129 | Stevi A Rehncy | Occupational Therapist | 6 Josan Dr, Waterford, CT 06385-1108 | 2019-03-26 |
| 1992276158 | Danielle Marie Ahlbrandt | Occupational Therapist | 11441 Route 19 N, Waterford, PA 16441-9107 | 2018-12-16 |
| 1871069278 | Melissa A Wiggins | Occupational Therapist | 77 Vivian St, Waterford, CT 06385-2339 | 2018-10-23 |
| 1467902650 | Rochelle Flanigan | Occupational Therapist | 60 S Lynn Ave, Waterford, MI 48328-3823 | 2016-10-11 |
| 1649621145 | Jennifer Elizabeth Romanczuk | Occupational Therapist | 181 Coleman Dr, Waterford, MI 48328-3611 | 2016-06-26 |
| 1154705481 | Sophia Laura Patsy | Occupational Therapist | 1292 Dublin Rd, Waterford, PA 16441-2930 | 2015-07-16 |
| 1427489806 | Mary Zies | Occupational Therapist | 346 N Roslyn Rd, Waterford, MI 48328-3064 | 2013-12-10 |
| 1538485982 | Shannon Lea Davis | Occupational Therapist | 1181 Forest Bay Dr, Waterford, MI 48328-4289 | 2010-04-09 |
| 1619139961 | Julia Beth Schroeder | Occupational Therapist | 400 Prairie Hill Way, Waterford, WI 53185-4264 | 2008-06-27 |
| 1548429558 | Joan Hay | Occupational Therapist | 1901 N Telegraph Rd, Waterford, MI 48328 | 2008-06-04 |
| Find all providers in WATERFORD | ||||
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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.