LARISSA LERTOLA (NPI# 1720577232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720577232 |
| Entity Type | Individual |
| Full Name | LARISSA LERTOLA |
| Practice Address |
15023 21 Mile Rd Shelby Township MI 48315-5024 |
| Practice Telephone | 5862869644 |
| Mailing Telephone | 5862869644 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers | ||
| N | 103K00000X | Behavioral Analyst | MI | Behavioral Health & Social Service Providers |
| Street Address |
15023 21 MILE RD |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48315-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396817771 | Quality Care Rehabilitation Professionals, Inc | Specialist | 15023 21 Mile Rd, Shelby Township, MI 48315 | 2006-11-14 |
| 1396377024 | Amanda Plumb | Behavioral Analyst | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2020-02-11 |
| 1700429537 | Kimberlie Watkins | Occupational Therapist | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2019-10-24 |
| 1275174492 | Victoria Hack | Occupational Therapist | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2019-09-30 |
| 1881245330 | Milagros Sotomayor | Occupational Therapist | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2019-09-26 |
| 1437718830 | Quality Care Rehabilitation Professionals | Occupational Therapist | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2019-06-10 |
| 1861961351 | Amy Jessica Divirgilio | Occupational Therapist | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2018-11-14 |
| 1811465545 | Priyanka Villanassery | Physical Therapist | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2018-11-12 |
| 1811465552 | Malerie Davis | Speech-Language Pathologist | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2018-11-12 |
| 1457847501 | Nicole Nagy | Speech-Language Pathologist | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2018-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525847 | Monica Nikollbibaj | Technician/Technologist | 49970 Van Dyke Ave, Shelby Township, MI 48317-1347 | 2020-10-14 |
| 1194105163 | Erika Eva Eckert | Technician/Technologist | 56689 Sunset Dr, Shelby Township, MI 48316-5747 | 2015-06-04 |
| 1245739846 | Shane Michael Mcmanaman | Technician/Technologist | 15023 21 Mile Rd, Shelby Township, MI 48315-5024 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173942 | Madison Lynn-grayce Baker | Technician/Technologist | 32100 Telegraph Rd # 32100205, Bingham Farms, MI 48025-2452 | 2020-10-27 |
| 1164021424 | Jennifer Julia Schneider Stahl | Technician/Technologist | 1327 Cynthia Ave, Madison Heights, MI 48071-2697 | 2020-10-19 |
| 1992312342 | Brittany Moeller | Technician/Technologist | 1200 E Grand River Ave Apt 27, East Lansing, MI 48823-4922 | 2020-09-29 |
| 1639785801 | Diamond B Haynes | Technician/Technologist | 32100 Telegraph Rd Ste 209, Bingham Farms, MI 48025-2454 | 2020-09-22 |
| 1326654013 | Mariah Pino | Technician/Technologist | 15004 Mclain Ave, Allen Park, MI 48101-1819 | 2020-09-18 |
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1245842079 | Wasseem Haidar | Technician/Technologist | 32100 Telegraph Rd Ste 20548025, Bingham Farms, MI 48025-2452 | 2020-08-21 |
| 1336759158 | Cameron White | Technician/Technologist | 32100, Suite 205, Bingham Farms, MI 48025-2452 | 2020-08-06 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1821606625 | Antoinette Marie Jackson | Technician/Technologist | 23100 Telegraph Rd, Southfield, MI 48033-4155 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48315 |
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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.