COURTNEY LYNN FANKHAUSER (NPI# 1558655001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558655001 |
| Entity Type | Individual |
| Full Name | COURTNEY LYNN FANKHAUSER |
| Other Name | COURTNEY RIEHLE |
| Credential | CTRS |
| Practice Address |
10909 Hannan Rd Romulus MI 48174-1383 |
| Mailing Address |
2255 Vivian Rd Monroe MI 48162-4133 |
| Practice Telephone | 7348931080 |
| Mailing Telephone | 4193673075 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 59551 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2255 Vivian Rd, Monroe, MI 481624133 | 4193673075 |
| Street Address |
10909 HANNAN RD |
| City | ROMULUS |
| State | MI |
| Zip Code | 48174-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295773281 | Special Tree Rehabilitation Services Ltd | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2006-06-03 |
| 1649877986 | Special Tree Rehabilitation Services Ltd | Residential Treatment Facility, Physical Disabilities | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2020-10-08 |
| 1306443742 | Special Tree Neuro Care Center | Clinic/Center | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2020-10-08 |
| 1922655869 | Emilie Herpick | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
| 1740837681 | Kristin Overweg Claerhout | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
| 1629517701 | Special Tree Laboratory Service, LLC | Clinical Medical Laboratory | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2017-02-22 |
| 1639620024 | Jessica Hurlston | Psychologist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-10-20 |
| 1346695202 | Southeast Michigan Physicians Group | Specialist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2016-04-28 |
| 1851790414 | Denise Farris | Technician, Pathology | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2014-08-20 |
| 1114330263 | Ursula Kotzabassi | Occupational Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2014-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
| 1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
| 1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
| 1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
| 1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
| 1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
| 1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
| 1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
| 1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
| Find all providers in zip 48174 | ||||
| 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 |
|---|---|---|---|---|
| 1922655869 | Emilie Herpick | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
| 1740837681 | Kristin Overweg Claerhout | Recreation Therapist | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006728 | Tara Ann Fedewa | Recreation Therapist | 915 Laurelwood Dr, Lansing, MI 48917-7725 | 2020-09-08 |
| 1225651714 | Caroline Rose Marcon | Recreation Therapist | 15227 Payne Ct, Dearborn, MI 48126-3030 | 2020-05-19 |
| 1205469897 | Megan Groat | Recreation Therapist | 914 Lake Dr, Oxford, MI 48371-5716 | 2020-02-21 |
| 1215560040 | Ashley Melyn Phelps | Recreation Therapist | 6714 Northland Dr Ne, Rockford, MI 49341-9201 | 2020-02-20 |
| 1538708680 | Caylie Hosey | Recreation Therapist | 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 | 2020-01-06 |
| 1205480472 | Keilahna Castillo | Recreation Therapist | 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 | 2019-07-26 |
| 1134789514 | Cynthia Guzi | Recreation Therapist | 4469 Lutz Dr, Warren, MI 48092-1750 | 2019-06-18 |
| 1780244160 | Derenda Lefevre | Recreation Therapist | 3724 Noble Rd, Oxford, MI 48370-1514 | 2019-06-18 |
| 1407416886 | Jenna Black | Recreation Therapist | 28328 N Skye Dr, Farmington Hills, MI 48334-5335 | 2019-06-18 |
| 1225698608 | Carly Jane Rhodea | Recreation Therapist | 6906 Severance Rd, Cass City, MI 48726-9202 | 2019-06-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COURTNEY LYNN FANKHAUSER.
| 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.