MR. MARVIN JOHN THEILE


Address: 4646 John R St, Detroit, MI 48201-1916
Phone: 3135761000

MR. MARVIN JOHN THEILE (NPI# 1689835126) 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) 1689835126
Entity Type Individual
Full Name MR. MARVIN JOHN THEILE
Credential C.T.R.S.
Practice Address 4646 John R St
Detroit
MI 48201-1916
Practice Telephone 3135761000
Practice Fax Number 3135761246
Mailing Telephone 3135761000
Mailing Fax Number 3135761246
Enumeration Date 2008-06-18
Last Update Date 2008-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist 24322 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4646 JOHN R ST
City DETROIT
State MI
Zip Code 48201-1916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356344121 Christopher Emil Hermann Nurse Practitioner 4646 John R St, Detroit, MI 48201-1916 2005-05-24
1881293892 Derrick Williams Registered Nurse 4646 John R St, Detroit, MI 48201-1916 2020-10-21
1598371544 Sonia Govil Dietitian, Registered 4646 John R St, Detroit, MI 48201-1916 2020-09-16
1740893569 Nicholas Edward Peters Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-08-31
1710597455 Amber Michelle Young Social Worker 4646 John R St, Detroit, MI 48201-1916 2020-08-07
1104434471 Zeinab H Moussa Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-22
1235747346 Samantha Beth Lewis Psychologist 4646 John R St, Detroit, MI 48201-1916 2020-07-15
1477171189 Rima Mohammad Fardos Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-09
1992323869 Sarah F Waqhar Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-08
1619594181 Mellisa Ann Boyle Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235792490 Shontae Latrice Miller Recreation Therapist 19733 Annchester Rd, Detroit, MI 48219-2191 2019-04-15
1437396819 Brandon Clinton Allen Recreation Therapist 12091 Sorrento St, Detroit, MI 48227-3751 2009-01-07
1255430674 Silva A. Karapetian Recreation Therapist John D. Dingell Va Medical Center, 4646 John R. St, 553/11g-pm, Detroit, MI 48201 2006-09-22
1295202224 Angela Elizabeth Scarponi Recreation Therapist 2925 Russell St, Detroit, MI 48207-4825 2018-10-29
1013491273 Bridget Myke Recreation Therapist 2925 Russell St, Detroit, MI 48207-4825 2018-09-23
1558400846 Hollie Gilmore Recreation Therapist 15000 Gratiot Ave, Detroit, MI 48205-1973 2007-02-05
1508915505 Starr Rebecca Caruthers Recreation Therapist 15000 Gratiot Ave, Detroit, MI 48205-1973 2007-01-09
1669521613 Carrie Elaine Nance Recreation Therapist 15000 Gratiot Ave, Detroit, MI 48205-1973 2007-01-09

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City DETROIT
Zip Code 48201

Improve Information

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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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