EMILY VERONICA POLOVICK


Address: 53021 Poppy Rd, South Bend, IN 46628-9238
Phone: 5743098654

EMILY VERONICA POLOVICK (NPI# 1730742453) 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) 1730742453
Entity Type Individual
Full Name EMILY VERONICA POLOVICK
Credential OTR
Practice Address 53021 Poppy Rd
South Bend
IN 46628-9238
Practice Telephone 5743098654
Enumeration Date 2019-04-18
Last Update Date 2019-09-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225X00000X Occupational Therapist 023669 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
104 Columbine Rd Unit 2a, Lake Ozark, MO 650496798 5743098654

Office Location

Street Address 53021 POPPY RD
City SOUTH BEND
State IN
Zip Code 46628-9238

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700419249 Mahogany Maternity Doula 22500 Lincoln Way West, South Bend, IN 46628 2020-02-12
1093126120 Julie Collier Pharmacist 3600 Northportage Road, South Bend, IN 46628 2014-05-12
1588075717 J Curylo Pharmacist 3600 N Portage Rd, South Bend, IN 46628 2014-05-09
1609287986 Thomas Daniels Pharmacist 3600 North Portage Rd., South Bend, IN 46628 2014-05-08
1639467277 United Seating and Mobility LLC Durable Medical Equipment & Medical Supplies 3371 Cleveland Rd Ste 310, South Bend, IN 46628 2011-07-18
1497891014 Danielle Colleen Luten Homemaker 1830 N Brookfield, South Bend, IN 46628 2007-01-30
1700885498 Stephen D Kennedy Family Medicine 5838 W Brick Rd Ste 106, South Bend, IN 46628 2005-07-15
1205440666 Kristin Lynette Stringer Registered Nurse 53174 Flowing Stream Ct, South Bend, IN 46628 2020-09-03
1033489844 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 3600 Portage Rd, South Bend, IN 46628 2012-01-10
1467687277 Leah Diane Craft Family Medicine 2235 Cleveland Rd, South Bend, IN 46628 2009-05-22
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952840183 Globe Star, LLC Occupational Therapist 935 S Ironwood Dr, South Bend, IN 46615-1613 2017-02-21
1568760213 Susan Strope Occupational Therapist 17390 Dugdale Dr, South Bend, IN 46635-1512 2011-03-04
1457669319 Rhonda Lee Ellen Lynette Davis-cheshire Occupational Therapist 22839 Arbor Pointe Dr, South Bend, IN 46628-9397 2010-09-14
1457675910 Stephanie Martin Occupational Therapist 1430 E Madison St, South Bend, IN 46617-2427 2010-03-26
1831345248 Cherlyn Po Occupational Therapist 52654 N Ironwood Rd, South Bend, IN 46637 2008-08-18
1568618478 Marian Katherine Gartee Occupational Therapist 52654 Ironwood Rd, South Bend, IN 46635-1123 2008-08-12
1821206608 Lydia Bradfortd Otiato Occupational Therapist 1818 Georgian Ct, South Bend, IN 46614-1878 2007-05-18
1588877492 Anne Elizabeth Knouse Occupational Therapist 5709 Danbury Dr, South Bend, IN 46614-6047 2007-05-07
1124249867 Kristin Shide Occupational Therapist 2505 E Jefferson Blvd, South Bend, IN 46615-2635 2007-05-01
1811047822 Kristine Lee Kalber Occupational Therapist 801 E Lasalle Avenue, South Bend, IN 46617 2007-01-11
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Competitor

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City SOUTH BEND
Zip Code 46628

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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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