MR. NICHOLAS ANGELO POLYDORAS (NPI# 1659568129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659568129 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS ANGELO POLYDORAS |
| Credential | OTR |
| Practice Address |
29510 7 Mile Rd Livonia MI 48152-1910 |
| Practice Telephone | 2484279525 |
| Practice Fax Number | 2484279528 |
| Mailing Telephone | 2484279525 |
| Mailing Fax Number | 2484279528 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201005125 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
29510 7 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992872253 | Atlas Durable Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 29510 7 Mile Rd, Livonia, MI 48152-1910 | 2006-11-29 |
| 1164612461 | Diane Therese Amato | Occupational Therapist | 29510 7 Mile Rd, Livonia, MI 48152-1910 | 2007-08-01 |
| 1689790438 | Vasudevan Palaniswamy | Physical Therapist | 29510 7 Mile Rd, Livonia, MI 48152-1910 | 2007-03-22 |
| 1417001959 | Veerasamy Sivakumar | Physical Therapist | 29510 7 Mile Rd, Livonia, MI 48152-1910 | 2007-01-22 |
| 1760533699 | Wayne County Therapeutic, Inc. | Internal Medicine | 29510 7 Mile Rd, Livonia, MI 48152-1910 | 2007-01-16 |
| 1588715411 | Wayne County Therapeutic, Inc. | Occupational Therapist | 29510 7 Mile Rd, Livonia, MI 48152-1910 | 2007-01-16 |
| 1841340478 | Wayne County Therapeutic, Inc. | Social Worker | 29510 7 Mile Rd, Livonia, MI 48152-1910 | 2007-01-12 |
| 1114077104 | Wayne County Therapeutic, Inc. | Physical Therapist | 29510 7 Mile Rd, Livonia, MI 48152-1910 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1073165684 | Rachel Riggs | Occupational Therapist | 37650 Professional Center Dr Ste 105a, Livonia, MI 48154-1199 | 2019-07-13 |
| 1811551856 | Inspire Occupational Therapy Pllc | Occupational Therapist | 38935 Ann Arbor Rd Ste 150, Livonia, MI 48150-3397 | 2019-04-25 |
| 1275007247 | Kristyn Marie Green | Occupational Therapist | 14120 Susanna St, Livonia, MI 48154-5911 | 2019-01-14 |
| 1235636127 | Constance Evasic | Occupational Therapist | 14042 Edgewood St, Livonia, MI 48154-5334 | 2018-04-09 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1336643188 | Jessica Leigh Carroll | Occupational Therapist | 35278 Richland St, Livonia, MI 48150-2657 | 2018-03-19 |
| 1184125858 | Katherine Ann Bowlby | Occupational Therapist | 34408 Burton Ln, Livonia, MI 48154-2503 | 2018-02-27 |
| 1144699448 | Jaclyn Must | Occupational Therapist | 9326 Florida St, Livonia, MI 48150-3800 | 2015-09-17 |
| 1396122461 | Linda Maria Bowser | Occupational Therapist | 34625 Grove Dr, Livonia, MI 48154-2442 | 2015-04-28 |
| 1134523970 | Robin Mercer | Occupational Therapist | 29836 Bobrich St, Livonia, MI 48152-4540 | 2014-10-21 |
| Find all providers in LIVONIA | ||||
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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.