JOAN WILDING (NPI# 1700330131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700330131 |
| Entity Type | Individual |
| Full Name | JOAN WILDING |
| Practice Address |
620 Madison St Syracuse NY 13210-2319 |
| Practice Telephone | 3154263600 |
| Practice Fax Number | 3154264746 |
| Mailing Telephone | 3154263600 |
| Mailing Fax Number | 3154264746 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
620 MADISON ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887825 | Marianna Hp Kaufman | Internal Medicine | 620 Madison St, Syracuse, NY 13210-2319 | 2005-08-10 |
| 1447851811 | Christopher Pernisi | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-11-03 |
| 1356942718 | Lesley Musgrove | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-11-03 |
| 1154943314 | Michelle Pisano | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2338 | 2020-05-11 |
| 1750916474 | Monxque Marceis | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-03-04 |
| 1790317733 | Anthony Charles Gonzalez | Social Worker | 620 Madison St, Syracuse, NY 13210-2319 | 2020-02-07 |
| 1144869934 | Jennifer Volcko | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-27 |
| 1275171324 | Jaylin Vernon | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-18 |
| 1396383980 | Tori Martin | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-15 |
| 1134767700 | Elizabeth Gonzalez | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| 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 |
|---|---|---|---|---|
| 1720534498 | Jennifer Page | Recreation Therapist | 813 Fay Rd, The Centers At St. Camillus, Syracuse, NY 13219-3009 | 2016-08-31 |
| 1124573324 | Douglas Clapper | Recreation Therapist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-08-18 |
| 1780030353 | Karen Antoine | Recreation Therapist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-05-12 |
| 1306291505 | Jason Pierce | Recreation Therapist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-04-26 |
| 1568817773 | Carl Eber | Recreation Therapist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-04-26 |
| 1235584434 | Kathy Eber | Recreation Therapist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-04-26 |
| 1386098986 | Erin Popcun | Recreation Therapist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2016-04-20 |
| 1437249612 | Mario Francis Panetta | Recreation Therapist | 1031 E Fayette St, Syracuse, NY 13210-1022 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540822 | Simone M Wong | Recreation Therapist | 596 Argyle Rd Apt 5, Brooklyn, NY 11230-1647 | 2018-05-31 |
| 1396257705 | Michael Krauer | Recreation Therapist | 920 48th St Rm 1515, Brooklyn, NY 11219-2918 | 2017-10-26 |
| 1962958249 | Patricia Cole | Recreation Therapist | 2049 Albany Post Road, Montrose, NY 10548 | 2016-08-28 |
| 1629422902 | Karin Harris | Recreation Therapist | 73 Fairfield St, Middleville, NY 13406-1822 | 2016-04-22 |
| 1285017608 | Jennin Mary Nangle | Recreation Therapist | 15 Borman Ct, Lake Ronkonkoma, NY 11779-1982 | 2015-07-02 |
| 1578974184 | Anthony Martino | Recreation Therapist | 26041 73rd Ave, Glen Oaks, NY 11004-1029 | 2014-05-16 |
| 1316213796 | Marianne Pastorella | Recreation Therapist | 26200 Red Tail Ln, Evans Mills, NY 13637-3436 | 2012-03-29 |
| 1942574165 | Sanya Williams | Recreation Therapist | 832 Grand Terrace Ave, North Baldwin, NY 11510-1423 | 2012-03-06 |
| 1558686642 | Janice Gully | Recreation Therapist | 82 Meadowmere Ave, Mastic, NY 11950-4606 | 2010-03-31 |
| 1265626485 | G Ruyack | Recreation Therapist | 2094 Albany Post Road Rt 9a, Montrose, NY 10548-0100 | 2007-08-30 |
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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.