MARY LYNN CARLSON (NPI# 1407153232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407153232 |
| Entity Type | Individual |
| Full Name | MARY LYNN CARLSON |
| Credential | OTRL |
| Practice Address |
2080 S Telegraph Rd Bloomfield Hills MI 48302-0247 |
| Mailing Address |
29792 Briarton St Farmington Hills MI 48331-2248 |
| Practice Telephone | 2489720800 |
| Mailing Telephone | 2486613811 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201007294 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710542832 | Mary Elizabeth Carlson | Speech-Language Pathologist | 9803 Old Saint Augustine Rd Ste 8, Jacksonville, FL 32257-8845 | 2019-05-03 |
| 1679021166 | Mary L Carlson | Counselor | 13502 E 53rd Ter, Kansas City, MO 64133-7733 | 2016-09-14 |
| 1609054196 | Mary S. Griffin Carlson | Marriage & Family Therapist | 430 Prior St. N.e., Gainesville, GA 30501 | 2008-02-06 |
| 1215475751 | Mary Carlson | Speech-Language Pathologist | 300 C St, Belmar, NJ 07719-2122 | 2017-02-04 |
| 1528424918 | Mary Carlson | Social Worker | 220 N Ballston Ave, Scotia, NY 12302-2533 | 2016-01-14 |
| 1043629991 | Mary Carlson | Pharmacist | 18144 Wedge Pkwy, Reno, NV 89511-8168 | 2014-08-05 |
| 1265707517 | Mary Ellen Carlson | Counselor | 90 New State Hwy, Raynham, MA 02767-5460 | 2012-03-20 |
| 1730476300 | Mary Carlson | Mechanotherapist | 3023 Bunker Hill St, #201, San Diego, CA 92109-5706 | 2011-07-05 |
| 1407142169 | Mary Dolores Carlson | Speech-Language Pathologist | 360 Merrimack St, Lawrence, MA 01843-1740 | 2011-06-21 |
| 1811223027 | Mary Carlson | Physical Therapist | 11215 Seven Locks Rd, Potomac, MD 20854-3260 | 2009-10-22 |
| Street Address |
2080 S TELEGRAPH RD |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-0247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336528439 | Kristen Marie Parkham | Occupational Therapy Assistant | 2080 S Telegraph Rd, Bloomfield Hills, MI 48302-0247 | 2015-05-21 |
| 1477980985 | Katelyn Ann Margarida | Speech-Language Pathologist | 2080 S Telegraph Rd, Bloomfield Hills, MI 48302-0247 | 2013-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| 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 |
|---|---|---|---|---|
| 1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
| 1841575941 | Leigh Blanche Flechsig Ustick | Occupational Therapist | 20 Hadsell Drive, Bloomfield Hills, MI 48302 | 2011-10-20 |
| 1740310770 | Lisa Goble | Occupational Therapist | 42869 Woodward Ave, Bloomfield Hills, MI 48304-5036 | 2007-03-07 |
| 1790324648 | Fox Rehabilitation Services Mi LLC | Occupational Therapist | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2019-12-24 |
| 1053976225 | Minal Ashish Manek | Occupational Therapist | 2975 N Adams Rd, Bloomfield Hills, MI 48304-3786 | 2019-05-03 |
| 1386208627 | Kristen C Couture | Occupational Therapist | 2975 N Adams Rd, Bloomfield Hills, MI 48304-3786 | 2019-04-23 |
| 1932683430 | Kathryn Holdsworth | Occupational Therapist | 800 W Long Lake Rd Ste 195, Bloomfield Hills, MI 48302-2056 | 2018-09-20 |
| 1083103618 | Marina Potiris | Occupational Therapist | 39312 Woodward Ave, Bloomfield Hills, MI 48304-5007 | 2018-05-09 |
| 1235628892 | Padmaja Tummala | Occupational Therapist | 39312 Woodward Ave, Bloomfield Hills, MI 48304-5007 | 2018-05-08 |
| 1740779636 | Danielle Lizura | Occupational Therapist | 39312 Woodward Ave, Bloomfield Hills, MI 48304-5007 | 2018-05-07 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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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.