ELIZABETH DAKELMAN BALOG (NPI# 1750859062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750859062 |
| Entity Type | Individual |
| Full Name | ELIZABETH DAKELMAN BALOG |
| Credential | OTR/L |
| Practice Address |
11690 Neelsville Church Rd Germantown MD 20876-4127 |
| Practice Telephone | 3013530972 |
| Practice Fax Number | 3016010381 |
| Mailing Telephone | 3013530972 |
| Mailing Fax Number | 3016010381 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 0062 | MD | Behavioral Health & Social Service Providers |
| Y | 225X00000X | Occupational Therapist | 03037 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MD STATE BOARD OF OCCUPATIONAL THERY PRACTITIONERS | 03037 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478241 | Elizabeth Marie Balog | Social Worker | 108 Palmetto Park Blvd Ste D, Lexington, SC 29072-7969 | 2020-05-14 |
| 1386766590 | Elizabeth A Balog | Occupational Therapist | 707 N Broadway, Baltimore, MD 21205-1832 | 2007-04-06 |
| Street Address |
11690 NEELSVILLE CHURCH RD |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20876-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831313147 | Eileen Butler | Physical Therapist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2007-04-11 |
| 1477022150 | Carin Marie Hawkins | Speech-Language Pathologist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-25 |
| 1144799925 | Milena Bartosiewicz | Physical Therapist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-21 |
| 1245709195 | Mary Reis | Speech-Language Pathologist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-21 |
| 1750850814 | Karen Zacker Scharfenberg | Occupational Therapist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-19 |
| 1528537537 | Carrie Pollock | Speech-Language Pathologist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-19 |
| 1164991626 | Jin Yang | Physical Therapist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-14 |
| 1720556301 | Edith Rebecca Baquet | Speech-Language Pathologist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-13 |
| 1447728035 | Erin Marie Mctavish | Speech-Language Pathologist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-13 |
| 1245708833 | Judy Byer | Social Worker | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1003379819 | Pamela Denise Murphy | Counselor | 11480 Scenery Place, Germantown, MD 20876 | 2019-04-09 |
| 1629595061 | Teresa Francisco | Home Health Aide | 1 Yellow Leaf Ct, Germatown, MD 20876 | 2017-08-25 |
| 1679943559 | Aurora Equipment Supply | Durable Medical Equipment & Medical Supplies | 11712 Doxdam Terrace, Germantown, MD 20876 | 2015-10-05 |
| 1134500564 | The Blue Door Pharmacy, LLC | Pharmacy | 19851 Observation Drive, Germantown, MD 20876 | 2015-06-11 |
| 1730570003 | Smart Pain Surgery Center At Germantown, LLC | Clinic/Center | 19851 Observation Dr., Suite 350, Germantown, MD 20876 | 2015-02-09 |
| 1902296668 | Ci-wun Huang | Pharmacy Technician | 20908 Frederick Road, Germantown, MD 20876 | 2015-02-02 |
| 1184025322 | Robert Shirley | Physical Therapist | 20500 Seneca Meadows Parkway, Germantown, MD 20876 | 2014-09-08 |
| 1285067108 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 19851 Observation Dr, Suite 450, Germantown, MD 20876 | 2013-08-14 |
| 1639430200 | Sandrine Claire Mbouyo | Home Health Aide | 11102 Cedaiblugg Ln, Germantown, MD 20876 | 2012-05-31 |
| Find all providers in zip 20876 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336766039 | Andrew Boyd Hamrick | Occupational Therapist | 8040 Wolf River Blvd Ste 102, Germantown, TN 38138-1773 | 2020-06-29 |
| 1154940773 | Audrey Owens | Occupational Therapist | 2164 Night Shade Dr, Germantown, TN 38139-5318 | 2020-04-14 |
| 1750922316 | Patrick Cardosi | Occupational Therapist | 9070 Grovelawn Cv E, Germantown, TN 38139-5679 | 2019-10-04 |
| 1578090528 | Carol Chan | Occupational Therapist | 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 | 2017-05-20 |
| 1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
| 1346518768 | Leslie Rebecca Tompkins | Occupational Therapist | 181 Mill Road, Germantown, NY 12526 | 2011-12-13 |
| 1730462516 | Nimisha Shah Clawson | Occupational Therapist | 7480 Willey Rd, Germantown, TN 38138-2818 | 2011-09-27 |
| 1134457427 | Rose Bavlnka | Occupational Therapist | W202n10223 Lannon Rd, Germantown, WI 53022-9545 | 2009-11-24 |
| 1992946453 | Joan B Devlin | Occupational Therapist | W173n10915 Bernie's Way, Germantown, WI 53022-4043 | 2009-03-13 |
| 1891952628 | Ayanna Hill | Occupational Therapist | 18938 Moonwalk Ct, Germantown, MD 20874-6119 | 2008-05-20 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20876 |
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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.