CHERRI LYNN MARCUM (NPI# 1750947339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750947339 |
| Entity Type | Individual |
| Full Name | CHERRI LYNN MARCUM |
| Credential | COTA |
| Practice Address |
1717 Maplecrest Rd Fort Wayne IN 46815-7656 |
| Mailing Address |
9805 Prince Ct Fort Wayne IN 46835-9550 |
| Practice Telephone | 8777127869 |
| Mailing Telephone | 2607509359 |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2019-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224ZE0001X |
Occupational Therapy Assistant Specialization: Environmental Modification |
32001684A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1717 MAPLECREST RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-7656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013274497 | Linda Sue Sickman | Speech-Language Pathologist | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2012-04-23 |
| 1891350054 | Genelle Mull | Physical Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2019-05-03 |
| 1609430941 | Maria Catherine Oliver | Occupational Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2019-04-23 |
| 1730694779 | Brian Thomas Kreager | Physical Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2017-12-13 |
| 1275080350 | Numan Saleem | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt # 112, Fort Wayne, IN 46815-7656 | 2016-09-06 |
| 1548640931 | Amy Chappell | Occupational Therapist | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2015-06-01 |
| 1457746893 | Grace Lencke | Physical Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2015-04-02 |
| 1679998900 | Legacy Healthcare Services, Inc | Occupational Therapist | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2014-02-24 |
| 1881020204 | Amanda Welker | Physical Therapy Assistant | 1717 Maplecrest Rd, Fort Wayne, IN 46815-7656 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 224ZE0001X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| Specialization | Environmental Modification |
| Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for an Environmental Modification Occupational Therapy Assistant if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013215094 | Thomas Anthony Richardson | Occupational Therapy Assistant | 8900 Keystone Xing Ste 600, Indianapolis, IN 46240-2131 | 2011-03-01 |
| 1568019776 | Sharon Fucela | Occupational Therapy Assistant | 101 W 87th Ave, Merrillville, IN 46410-6177 | 2019-08-22 |
| 1437473824 | Traci Gail Devers | Occupational Therapy Assistant | 2119 E National Hwy, Washington, IN 47501-4507 | 2010-03-15 |
| 1275857666 | Lindsey Erin Boyd | Occupational Therapy Assistant | 2119 E National Hwy, Washington, IN 47501-4507 | 2010-03-15 |
| City | FORT WAYNE |
| Zip Code | 46815 |
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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.