SHELLY GERMAINE TEESDALE (NPI# 1528545415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528545415 |
| Entity Type | Individual |
| Full Name | SHELLY GERMAINE TEESDALE |
| Credential | MSOTR/L |
| Practice Address |
4450 Cascade Rd Se Grand Rapids MI 49546-3633 |
| Mailing Address |
2063 Winston View Dr Ne Cedar Springs MI 49319-7947 |
| Practice Telephone | 6169495140 |
| Mailing Telephone | 6168628900 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201007005 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4450 CASCADE RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083704035 | Richard Alan Nezwek | Dentist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3697 | 2006-10-13 |
| 1518574482 | Russell T Neher | Physical Therapy Assistant | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2020-09-25 |
| 1407493851 | John Hart | Physical Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2019-12-04 |
| 1639714447 | Pamela Jean Woodruff | Occupational Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2019-11-15 |
| 1922574342 | Kimberly Sue Ball | Speech-Language Pathologist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2018-10-24 |
| 1366928632 | Pamela Kay Dykehouse | Physical Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2018-07-19 |
| 1871079632 | Anne Therese Lukshaitis | Physical Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2018-07-16 |
| 1598241481 | Bradley James Kuipers | Physical Therapist | 4450 Cascade Rd Se, Grand Rapids, MI 49546-3633 | 2018-07-14 |
| 1780899245 | Porter Hills Services | Case Management | 4450 Cascade Rd Se, Suite 100, Grand Rapids, MI 49546-8330 | 2007-05-10 |
| 1114130499 | Porter Hills Retirement Communities & Services | Case Management | 4450 Cascade Rd Se, Suite 300, Grand Rapids, MI 49546-8330 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1033771522 | Abigail Peters | Occupational Therapist | 1845 Boston St Se, Grand Rapids, MI 49506-4400 | 2019-07-03 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1508342403 | Kelsey Elizabeth Ewald | Occupational Therapist | 910 Hovey St Sw, Grand Rapids, MI 49504-6230 | 2018-07-13 |
| 1386138113 | Judith Helen Siegert | Occupational Therapist | 4450 Cascade Rd Se Ste 200, Grand Rapids, MI 49546-3633 | 2018-06-15 |
| 1689164535 | Kerry Ann Macdonald | Occupational Therapist | 1147 Sibley St Nw, Grand Rapids, MI 49504-5459 | 2018-05-16 |
| 1821595711 | Karen Amal Farhat-hendricks | Occupational Therapist | 3683 Maplebrook Dr Nw, Grand Rapids, MI 49534-2709 | 2018-04-09 |
| 1003310848 | Jessica Michelle Flood | Occupational Therapist | 2750 E Beltline Ave Ne # Mc279, Grand Rapids, MI 49525-8614 | 2018-03-19 |
| 1043713175 | Stacey Marie Schaub | Occupational Therapist | 750 Fuller Avenue, Grand Rapids, MI 49503 | 2018-03-15 |
| 1467955906 | Rachelle Schultz | Occupational Therapist | 4234 Shadowlawn Ct Ne, Grand Rapids, MI 49525-1921 | 2018-03-12 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.