MRS. DEIDRE OMAHEN (NPI# 1548608169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548608169 |
| Entity Type | Individual |
| Full Name | MRS. DEIDRE OMAHEN |
| Credential | CTRS |
| Practice Address |
4913 Parkway Dr Downers Grove IL 60515-3507 |
| Mailing Address |
4913 Parkway Downers Grove IL 60515-3507 |
| Practice Telephone | 7733014098 |
| Mailing Telephone | 7733014098 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4913 PARKWAY DR |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053581090 | Elizabeth Watson | Recreation Therapist | 1040 Robey Ave, Downers Grove, IL 60516-3445 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631744 | Nicole C Allen | Recreation Therapist | 611 N Almond St, Carbondale, IL 62901-1307 | 2018-09-04 |
| 1700388162 | Ricky L Hoskins I | Recreation Therapist | 109 S Crawford St, Danville, IL 61832-6418 | 2018-03-01 |
| 1659789089 | Kelly O'brien | Recreation Therapist | 1039 Forest Ave, Belleville, IL 62220-3623 | 2014-07-29 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1871820266 | Colleen Michelle Hopp | Recreation Therapist | 10535 Faust Rd, Lebanon, IL 62254-2904 | 2009-11-06 |
| 1770735433 | Mary Terese Anne Squeo | Recreation Therapist | 8626 Dunbar St, Willow Springs, IL 60480-1165 | 2008-10-14 |
| 1477728319 | Clinical Connections | Recreation Therapist | 2225 Lakeside Dr, Bannockburn, IL 60015-1265 | 2008-04-22 |
| 1386847556 | Katie Barbier | Recreation Therapist | 4150 Gatling Blvd, Country Club Hills, IL 60478-2024 | 2007-06-06 |
| 1225248412 | Karin A Huisenga | Recreation Therapist | 17843 Durkin Rd, Tinley Park, IL 60477-2153 | 2007-05-23 |
| 1528278728 | Jean Adele Arola | Recreation Therapist | 15712 Revere Ct Apt E, Oak Forest, IL 60452-6030 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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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.