BRANDI NICOLETTE-BAKER (NPI# 1568062644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568062644 |
| Entity Type | Individual |
| Full Name | BRANDI NICOLETTE-BAKER |
| Credential | OTR/L |
| Practice Address |
11104 Parkview Circle Dr Suite 050 Fort Wayne IN 46845-1733 |
| Mailing Address |
8129 N Arlington Park Blvd Fort Wayne IN 46835-4379 |
| Practice Telephone | 2602664080 |
| Practice Fax Number | 2602664089 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31002346A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11104 PARKVIEW CIRCLE DR SUITE 050 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621641 | Thomas J. Curfman | Psychiatry & Neurology | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1174124143 | Ellen Nicole Eckhart | Physical Therapist | 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 | 2020-11-05 |
| 1912508169 | Bryson James Robuck | Registered Nurse | 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 | 2020-11-04 |
| 1649723818 | April Jeanne Jenkins | Nurse Practitioner | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1673 | 2016-07-25 |
| 1497111991 | Janelle Miller | Nurse Practitioner | 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 | 2016-01-13 |
| 1770957680 | Kathleen O'keefe | Registered Nurse | 11104 Parkview Circle Dr, Ste. 310, Fort Wayne, IN 46845-1672 | 2015-11-17 |
| 1114302056 | Christy Ann Auld | Nurse Practitioner | 11104 Parkview Circle Dr, Suite 410, Fort Wayne, IN 46845-1672 | 2015-07-21 |
| 1790169233 | Blair Fifer | Nurse Practitioner | 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 | 2015-07-15 |
| 1013318427 | Andrea Jantson Smith | Physical Therapist | 11104 Parkview Circle Dr, Fort Wayne, IN 46845 | 2014-09-05 |
| 1770992505 | Dianne B Mcintosh | Physical Therapist | 11104 Parkview Circle Dr, Suite 050, Fort Wayne, IN 46845 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| 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 |
|---|---|---|---|---|
| 1134746209 | Laurel Schroeder | Occupational Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-07-06 |
| 1831715481 | Hannah Saprid Cho | Occupational Therapist | 3024 Emerald Lake Dr, Fort Wayne, IN 46804-2406 | 2020-06-19 |
| 1811510464 | Carmen Rosales | Occupational Therapist | 10331 Copper Tree Pl, Fort Wayne, IN 46804-4284 | 2020-05-18 |
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1073074571 | Melanie Blanchard | Occupational Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2019-03-27 |
| 1669939864 | Kristen Macy | Occupational Therapist | 201 E Rudisill Blvd Ste 301, Fort Wayne, IN 46806-1756 | 2019-02-23 |
| 1841769270 | Brian Bernard Conaway | Occupational Therapist | 7125 S Hanna St, Fort Wayne, IN 46816 | 2018-11-14 |
| 1073041901 | Julie Replogle | Occupational Therapist | 409 E Cook Rd Ste 100, Fort Wayne, IN 46825-3656 | 2017-05-23 |
| 1073998530 | Joshua Michael Oesterling | Occupational Therapist | 3030 Lake Ave Ste 8, Fort Wayne, IN 46805-5428 | 2015-07-27 |
| 1881072916 | Diane Lynn Zinn | Occupational Therapist | 8300 Maysville Rd, Fort Wayne, IN 46815-6619 | 2015-05-08 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.