MRS. BRENDA SUE VANDENBERG (NPI# 1669803094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669803094 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA SUE VANDENBERG |
| Credential | C.O.T.A |
| Practice Address |
2786 56th St Tendercare Wyoming Wyoming MI 49418 |
| Mailing Address |
1875 108th St Sw Byron Center MI 49315 |
| Practice Telephone | 6162613960 |
| Practice Fax Number | 6162613925 |
| Mailing Telephone | 6163088736 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202006468 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2786 56TH ST TENDERCARE WYOMING |
| City | WYOMING |
| State | MI |
| Zip Code | 49418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013548379 | Specialty Physical Therapy LLC | Occupational Therapy Assistant | 1062 Wyoming Ave, Wyoming, PA 18644-1331 | 2020-01-27 |
| 1689225062 | Carly Cleveland | Occupational Therapy Assistant | 4353 Stonebridge Dr Sw Apt 1, Wyoming, MI 49519-4166 | 2019-09-26 |
| 1770042285 | Julia Anne Brott | Occupational Therapy Assistant | 1850 52nd St Sw, Wyoming, MI 49519-9601 | 2019-03-14 |
| 1700047446 | Patricia Jean Holzschuh | Occupational Therapy Assistant | 26512 Everton Cir, Wyoming, MN 55092-9008 | 2008-06-24 |
| 1447215058 | Robin Gardiner | Occupational Therapy Assistant | 7 Front St, Wyoming, DE 19934-1121 | 2006-04-18 |
| 1447753348 | Kendell Rae Altena | Occupational Therapy Assistant | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-03-16 |
| 1689177974 | Jessica Steffes | Occupational Therapy Assistant | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-03-13 |
| 1558864041 | Hannah Christine Bredeweg | Occupational Therapy Assistant | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-03-12 |
| 1467955021 | Melissa Clare Kinner | Occupational Therapy Assistant | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-03-09 |
| 1205223088 | Jane Boomsma | Occupational Therapy Assistant | 2786 56th St Sw, Wyoming, MI 49418-8708 | 2015-04-20 |
| Find all providers in WYOMING | ||||
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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.