ATHENA ISIS ANTEAU (NPI# 1477041432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477041432 |
| Entity Type | Individual |
| Full Name | ATHENA ISIS ANTEAU |
| Credential | OTR/L, CHT |
| Practice Address |
1201 E Michigan Ave Ste 320 Jackson MI 49201-1854 |
| Mailing Address |
8041 Fairview Ct Jackson MI 49201-9242 |
| Practice Telephone | 5172057633 |
| Practice Fax Number | 5172057634 |
| Mailing Telephone | 7346457058 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
5201005217 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1201 E MICHIGAN AVE STE 320 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518114792 | Nitin Jain | Physical Therapist | 1201 E Michigan Ave Ste 320, Jackson, MI 49201-1854 | 2008-08-19 |
| 1154810570 | Cassie Janelle Greshow | Occupational Therapist | 1201 E Michigan Ave Ste 320, Jackson, MI 49201-1854 | 2018-05-02 |
| 1508369455 | Angela Marie Valliere | Occupational Therapist | 1201 E Michigan Ave Ste 320, Jackson, MI 49201-1854 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346442522 | Rhonda Elliott | Occupational Therapist | W227n16857 Tillie Lake Ct, Jackson, WI 53037-9000 | 2007-06-01 |
| 1871640516 | Kimberly Norman Nolen | Occupational Therapist | 65 B North Star Drive, Jackson, TN 38305 | 2007-01-04 |
| 1134525322 | Susan Wright | Occupational Therapist | 815 Court St, Jackson, CA 95642-2154 | 2014-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972166692 | Aaron Wienczak | Occupational Therapist | 36622 Five Mile Rd Ste 215, Livonia, MI 48154-1900 | 2019-04-18 |
| 1407357155 | Mary Whitehouse Barber | Occupational Therapist | 2098 S Main St Rm 1135, Ann Arbor, MI 48103-5827 | 2018-02-27 |
| 1437650611 | Jeanne Marie Riggs | Occupational Therapist | Domino's Farms, Lobby A Plastic Surg Ste Rm 1108, 24 Frank Lloyd Wright Dr., Spc 5735, Ann Arbor, MI 48106-5735 | 2018-02-23 |
| 1598275067 | Meredith Aja | Occupational Therapist | 1282 Kirts Blvd Ste 102, Troy, MI 48084-4888 | 2017-10-10 |
| 1912459470 | Erin K Nowak | Occupational Therapist | 501 S Health Pkwy, Three Rivers, MI 49093-8350 | 2016-11-01 |
| 1720532443 | Comprehensive Hand & Rehabilitation, LLC | Occupational Therapist | 5160 Gotfredson Rd, Plymouth, MI 48170-5019 | 2016-08-10 |
| 1154799666 | Mary Lynne Kleis | Occupational Therapist | 3739 Baldwin St, Hudsonville, MI 49426-9733 | 2015-09-14 |
| 1326387515 | Stephanie Tamminga | Occupational Therapist | 245 Cherry St Se Ste 302, Grand Rapids, MI 49503-4607 | 2013-02-07 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1568628790 | Great Lakes Hand Therapy PC | Occupational Therapist | 3600 Capital Ave Sw Ste 103, Battle Creek, MI 49015 | 2008-08-07 |
| Find all providers with the same taxonomy | ||||
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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.