STACY BOMMELJE (NPI# 1437579646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437579646 |
| Entity Type | Individual |
| Full Name | STACY BOMMELJE |
| Credential | COTA/L |
| Practice Address |
731 Starkweather Dr Lansing MI 48917-1128 |
| Practice Telephone | 5173239133 |
| Practice Fax Number | 5173230092 |
| Mailing Telephone | 5173239133 |
| Mailing Fax Number | 5173230092 |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2014-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202007780 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
731 STARKWEATHER DR |
| City | LANSING |
| State | MI |
| Zip Code | 48917-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790732295 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2006-05-28 |
| 1528535630 | Steven Larouche | Physical Therapy Assistant | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2018-10-26 |
| 1750778684 | Annemarie Lezovich | Physical Therapy Assistant | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2015-04-17 |
| 1821495045 | Lansing Opco, LLC | Skilled Nursing Facility | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2014-12-03 |
| 1801226386 | Micah Sacla | Physical Therapist | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2013-11-19 |
| 1760812341 | Kathryn Bachman | Speech-Language Pathologist | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2013-11-19 |
| 1881024768 | Brenda Leonard | Physical Therapy Assistant | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2013-11-14 |
| 1780014662 | Leann Geralyn Witgen | Occupational Therapist | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2013-11-14 |
| 1245660125 | Nykie Moyer | Occupational Therapist | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2013-11-14 |
| 1063842946 | Audrey Thelen | Occupational Therapy Assistant | 731 Starkweather Dr, Lansing, MI 48917-1128 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| 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 |
|---|---|---|---|---|
| 1063051878 | Alexis Julia Castillo | Occupational Therapy Assistant | 2919 193rd St, Lansing, IL 60438-3731 | 2019-12-26 |
| 1609395276 | Lytese Cedoria Rice | Occupational Therapy Assistant | 17723 Park Blvd Apt 2b, Lansing, IL 60438-1947 | 2017-09-14 |
| 1538604889 | Toni Smith | Occupational Therapy Assistant | 3110 191st Pl, Lansing, IL 60438-3716 | 2016-12-22 |
| 1407212038 | Kristina Nang | Occupational Therapy Assistant | 423 Adams St Apt 1, Lansing, MI 48906-5273 | 2016-01-12 |
| 1013394436 | Rachel Jansma | Occupational Therapy Assistant | 17816 Walter St, Lansing, IL 60438-2330 | 2015-05-06 |
| 1922397595 | Richard Paul Vana | Occupational Therapy Assistant | 18318 Exchange Ave, Lansing, IL 60438-2964 | 2011-04-04 |
| 1124235429 | Jaime Adams | Occupational Therapy Assistant | 17715 Park Blvd Apt 3e, Lansing, IL 60438-1949 | 2007-05-17 |
| 1669936589 | Evan Michael Braedon I | Occupational Therapy Assistant | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4345 | 2019-01-24 |
| 1093279994 | Melissa Zigler | Occupational Therapy Assistant | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 | 2019-01-24 |
| 1902360803 | Brigitte Doxtator | Occupational Therapy Assistant | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4345 | 2019-01-24 |
| Find all providers in LANSING | ||||
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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.