MARY BETH WULF (NPI# 1396713277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396713277 |
| Entity Type | Individual |
| Full Name | MARY BETH WULF |
| Credential | OTR/CHT |
| Practice Address |
8100 Northland Dr Bloomington MN 55431-4800 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 9528318742 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 54931819 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8671 S Quebec St, Suite 150, Highlands Ranch, CO 80130 | 7203447015 | 7203447021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619139359 | Mary Lou Wulf | Clinical Nurse Specialist | 1701 N Senate Blvd, Rm Ag 001, Indianapolis, IN 46202-1239 | 2008-06-25 |
| Street Address |
8100 NORTHLAND DR |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150946 | Dillon Bruxvoort | Specialist/Technologist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2018-10-15 |
| 1619452026 | Julia Mcbrien | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431 | 2018-10-02 |
| 1821508433 | Adam Jansen | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-10-09 |
| 1184148017 | Andrew Jacob Olson | Neuromusculoskeletal Medicine, Sports Medicine | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-08-02 |
| 1831629849 | Brianna Marie Bosma | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-06-13 |
| 1740720283 | Joshua Michael Brodersen | Specialist/Technologist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-03-02 |
| 1629512124 | Lisa Marie Boberg | Specialist/Technologist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2016-12-19 |
| 1518411776 | Amy Haynes | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2016-08-04 |
| 1659731222 | Connor Roach | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2016-02-25 |
| 1659744043 | Aimee Custer | Clinical Neuropsychologist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| 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 |
|---|---|---|---|---|
| 1174135057 | Hannah Masemore | Occupational Therapist | 2025 E Lincoln St, Bloomington, IL 61701-5995 | 2020-08-20 |
| 1447810411 | Elizabeth Mathews | Occupational Therapist | 443 S Landmark Ave, Bloomington, IN 47403-5004 | 2019-06-20 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1427584051 | Erin Christensen | Occupational Therapist | 900 W 94th St Ste A, Bloomington, MN 55420-4207 | 2017-05-02 |
| 1164872941 | Christopher Sobota | Occupational Therapist | 220 Springfield Rd, Suite 300, Bloomington, IL 60108-3087 | 2016-06-13 |
| 1972978096 | Lafonda Mckee | Occupational Therapist | 3211 E Moores Pike Fl 3, Bloomington, IN 47401-7129 | 2015-12-01 |
| 1487027397 | Abbey Turgeon | Occupational Therapist | 9562 Yukon Cir S, Bloomington, MN 55438-1645 | 2015-11-02 |
| 1407268022 | Lydia Mitchelle Kaufman | Occupational Therapist | 5800 American Blvd W Apt 528, Bloomington, MN 55437-1489 | 2014-06-02 |
| 1518218197 | Margret I. Kingrey | Occupational Therapist | 5911 W. State Rd., Bloomington, IN 47404-0537 | 2012-09-24 |
| 1114276177 | Cynthia Johnson | Occupational Therapist | 2200 East Washington St, Bloomington, IL 61701 | 2012-09-06 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
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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.