THERESA SOUTHWORTH (NPI# 1609433119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609433119 |
| Entity Type | Individual |
| Full Name | THERESA SOUTHWORTH |
| Practice Address |
851 Penniman Ave Plymouth MI 48170-1621 |
| Practice Telephone | 2483499595 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201001025 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
851 PENNIMAN AVE |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770529570 | Diamond Home Health Care, Inc | Home Health | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2006-06-21 |
| 1053911362 | Ashley Garza | Physical Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2020-10-27 |
| 1508465022 | Otis Kemutambah | Occupational Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2020-10-26 |
| 1073120366 | Kathryn Bell | Occupational Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2020-09-30 |
| 1396352563 | Emma Lowry | Occupational Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2020-09-30 |
| 1528670551 | Michael Neal | Physical Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2020-08-20 |
| 1629680616 | Jocelyn Braun | Physical Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2020-08-20 |
| 1952912990 | Alexis Hiser | Occupational Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2020-08-13 |
| 1437768231 | Bridget Suitor | Physical Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2020-07-28 |
| 1801405048 | Carly Taylor | Occupational Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| 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 |
|---|---|---|---|---|
| 1699337485 | Alicia Marie Wilson | Occupational Therapist | 14707 Northville Rd Apt 423, Plymouth, MI 48170-6076 | 2019-07-02 |
| 1942770797 | Katie L Belden | Occupational Therapist | 30 Monisa Kay Dr, Plymouth, MA 02360-1466 | 2018-12-04 |
| 1265934822 | Beth Albano | Occupational Therapist | 13241 Wendover Dr, Plymouth, MI 48170-8220 | 2018-02-28 |
| 1871012047 | Victoria Danner | Occupational Therapist | 48 Montgomery Dr, Plymouth, MA 02360-5266 | 2017-09-19 |
| 1073039236 | Ellen Marie Carll-bennett | Occupational Therapist | 45 Bonney Briar Dr, Plymouth, MA 02360-6206 | 2017-08-19 |
| 1598297707 | Stacia Johnson Schaeffer | Occupational Therapist | 839 Forest Ave, Plymouth, MI 48170-2076 | 2017-03-28 |
| 1578916185 | Terri Kava | Occupational Therapist | 11146 Terry St, Plymouth, MI 48170-4523 | 2016-07-19 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1255702445 | Kelsey Mckenzie | Occupational Therapist | 41276 Crabtree Ct, Plymouth, MI 48170-2633 | 2015-10-13 |
| 1124499504 | Sandra Hage | Occupational Therapist | 4665 Deerwood Ln N, Plymouth, MN 55442-2492 | 2015-10-12 |
| Find all providers in PLYMOUTH | ||||
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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.