PROFESSIONAL ERGONOMICS LLC


Address: 1754 Central Park Dr Apt H, Okemos, MI 48864-1258
Phone: 5173494268

PROFESSIONAL ERGONOMICS LLC (NPI# 1689204703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689204703
Entity Type Organization
Organization Name PROFESSIONAL ERGONOMICS LLC
Other Organization Name PROFESSIONAL ERGONOMICS THERAPY SERVICES
Practice Address 1754 Central Park Dr Apt H
Okemos
MI 48864-1258
Mailing Address 228 Church Hill Downs Blvd
Williamston
MI 48895-9053
Practice Telephone 5173494268
Practice Fax Number 5173494298
Mailing Telephone 5179277220
Enumeration Date 2020-01-16
Last Update Date 2020-08-11
Authorized Official Name CHERYL A GOODREAU (OWNER)
Authorized Official Telephone 5179277220
Authorized Official Credential OTR/L
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Professional Ergonomics Therapy Services Doing Business As Name - Organization

Office Location

Street Address 1754 CENTRAL PARK DR APT H
City OKEMOS
State MI
Zip Code 48864-1258

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972066348 Jan J Stokosa Prosthetic/Orthotic Supplier 2145 University Park Drive, Suite 100, Okemos, MI 48864 2019-04-11
1194284067 Bryan R Salminen Counselor 2127 University Drive Suite 300, Okemos, MI 48864 2019-03-19
1639678600 Paula Veronica Yevilaf Neira Behavior Technician 3887 Okemos Rd Suite A1, Okemos, MI 48864 2018-02-06
1306364690 Sally Ann Purdy Social Worker 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 2017-09-06
1952824609 Victoria Marie Hopper Behavior Technician 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 2017-07-24
1134653306 Kayleigh Delaney Dietitian, Registered 5050 Marsh Road, Suite 5, Okemos, MI 48864 2017-04-14
1922544402 Elsabeth Engeda Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4464 Hickory Drive, Okemos, MI 48864 2017-01-09
1104373752 Joslyn Fraidenburg Registered Nurse 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 2016-09-01
1851748966 Doug Derdowski Social Worker 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 2016-05-18
1437505971 Jessica Lynn Reslock Occupational Therapist 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 2016-05-13
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City OKEMOS
Zip Code 48864

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Dataset Information

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.

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