MARIAH KAY HATKEVICH (NPI# 1760096317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760096317 |
| Entity Type | Individual |
| Full Name | MARIAH KAY HATKEVICH |
| Practice Address |
3016 Portage Ave South Bend IN 46628-3501 |
| Mailing Address |
1318 N Lafayette Blvd South Bend IN 46617-1139 |
| Practice Telephone | 5742729100 |
| Mailing Telephone | 5742291298 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31007242A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3016 PORTAGE AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46628-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249090 | Shannan C Vincent | Physical Therapist | 3016 Portage Ave, South Bend, IN 46628-3501 | 2019-11-12 |
| 1467068775 | Kaity Corliss Mitchell | Occupational Therapy Assistant | 3016 Portage Ave, South Bend, IN 46628-3501 | 2020-09-22 |
| 1255949541 | Candice Pranger | Physical Therapy Assistant | 3016 Portage Ave, South Bend, IN 46628-3501 | 2020-07-22 |
| 1639709785 | Bonnie Lucille Meyer | Physical Therapy Assistant | 3016 Portage Ave, South Bend, IN 46628-3501 | 2020-01-16 |
| 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 |
| Find all providers in zip 46628 | ||||
| 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 |
|---|---|---|---|---|
| 1730742453 | Emily Veronica Polovick | Occupational Therapist | 53021 Poppy Rd, South Bend, IN 46628-9238 | 2019-04-18 |
| 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 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46628 |
Please comment or provide details below to improve the information on MARIAH KAY HATKEVICH.
| 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.