MRS. JENNIFER R CHISSUS (NPI# 1609956317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609956317 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER R CHISSUS |
| Credential | CTRS, CBIS |
| Practice Address |
3181 Sandhill Rd Mason MI 48854-9425 |
| Practice Telephone | 5173366060 |
| Practice Fax Number | 5173366050 |
| Mailing Telephone | 5173366060 |
| Mailing Fax Number | 5173366050 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 53645 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3181 SANDHILL RD |
| City | MASON |
| State | MI |
| Zip Code | 48854-9425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547740 | Emilie Jo Brzak | Occupational Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2020-08-10 |
| 1154978112 | Kacy Ann Shetler | Physical Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2019-08-23 |
| 1881257921 | Colette Katherine Chapp | Occupational Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2019-04-15 |
| 1972086411 | Aimee Joyce Sudek | Physical Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2018-09-11 |
| 1558858001 | Lindsay Marie Hunt | Speech-Language Pathologist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2018-04-19 |
| 1902306392 | Heather Marie Heppe | Occupational Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2018-02-13 |
| 1780136788 | Jennifer Taylor | Occupational Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2016-10-26 |
| 1841747805 | Dana Marie Vandreumel | Registered Nurse | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2016-09-07 |
| 1609224906 | Mariah Morgan | Physical Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2016-05-26 |
| 1558722439 | Mackenzie Patterson | Occupational Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2016-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919205 | Michael Metcalf | Behavior Technician | 3470 Josephine Lane, Mason, MI 48854 | 2017-01-20 |
| 1891160511 | Carol Heckaman | Social Worker | 818 Charrington Ct., Mason, MI 48854 | 2015-12-07 |
| 1730588765 | Katherine Reeber | Social Worker | 2950 W Howell Rd, Mason, MI 48854 | 2014-08-14 |
| 1417383746 | Melissa F Baker | Counselor | 855 Eaton Drive, Mason, MI 48854 | 2013-09-18 |
| 1881940922 | Jennifer K Ogle | Social Worker | 118 W Oak St Ste 202, Mason, MI 48854 | 2012-07-26 |
| 1326260944 | Douglas W Gray Dds | Dentist | 230 S Temple St, Mason, MI 48854 | 2007-05-03 |
| 1043378185 | Timothy Joseph Zielinski | Dentist | 640 Wash, Mason, MI 48854 | 2006-12-04 |
| 1578635470 | Barbara Ann Begian | Physician Assistant | 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 | 2006-11-15 |
| 1528015336 | University Rehabilitation Alliance, Inc. | Custodial Care Facility | 3181 Sandhill Rd., Mason, MI 48854 | 2006-05-27 |
| 1669428827 | Jeffrey Scott Deweerd | Family Medicine | 710 Temple St, Mason, MI 48854 | 2006-05-26 |
| Find all providers in zip 48854 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.