STEPHANIE L MBOUCK (NPI# 1780905265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780905265 |
| Entity Type | Individual |
| Full Name | STEPHANIE L MBOUCK |
| Credential | OTR/L |
| Practice Address |
1645 W 8th St Erie PA 16505 |
| Mailing Address |
1645 W 8th St Erie PA 16505-5007 |
| Practice Telephone | 8148758833 |
| Mailing Telephone | 8148758833 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1645 W 8th St, Erie, PA 16505 | 8148758833 |
| Street Address |
1645 W 8TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528019684 | Sidney Philip Lipman | Otolaryngology | 1645 W 8th St, #200, Erie, PA 16505-5007 | 2006-05-13 |
| 1306362603 | Elaine Driscoll | Speech-Language Pathologist | 1645 W 8th St, Erie, PA 16505-5007 | 2017-08-17 |
| 1548717572 | Shriners Hospitals for Children | Orthopaedic Surgery | 1645 W 8th St, Erie, PA 16505-5007 | 2016-09-07 |
| 1326490459 | Mary Kathryn Vicary Eighmy | Physical Therapist | 1645 W 8th St, Erie, PA 16505-5007 | 2016-07-13 |
| 1992175459 | Pediatric Orthotic and Prosthetic Services - Northeast, LLC | Prosthetic/Orthotic Supplier | 1645 W 8th St, Erie, PA 16505-5007 | 2015-09-28 |
| 1245614668 | Brittany R Ziegler | Physical Therapist | 1645 W 8th St, Erie, PA 16505-5007 | 2015-07-15 |
| 1013310101 | Elizabeth Meighen | Physical Therapist | 1645 W 8th St, Erie, PA 16505-5007 | 2014-10-02 |
| 1245647148 | Christine Marie Betancourt | Physician Assistant | 1645 W 8th St, Erie, PA 16505-5007 | 2014-07-13 |
| 1780099010 | Hima Bindu Dasari | Audiologist | 1645 W 8th St, #200, Erie, PA 16505-5007 | 2014-06-25 |
| 1518378140 | Nicole Lewis | Speech-Language Pathologist | 1645 W 8th St, Erie, PA 16505-5007 | 2014-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| 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 |
|---|---|---|---|---|
| 1891322897 | Charlyn R Morrison | Occupational Therapist | 202 Equinox Cir, Erie, CO 80516-6411 | 2020-03-27 |
| 1588202832 | Nicoy Weiss | Occupational Therapist | 2285 Alpine Dr, Erie, CO 80516-4684 | 2019-12-17 |
| 1811533698 | Jennifer Erin Mclaughlin | Occupational Therapist | 8436 Beech Tree Ln, Erie, PA 16510-5301 | 2019-11-27 |
| 1063058626 | Jeanette Koeth | Occupational Therapist | 8701 Kuhl Rd, Erie, PA 16510-4937 | 2019-11-19 |
| 1508328592 | Miranda Renee Summers | Occupational Therapist | 4602 Wynburne Ave, Erie, PA 16509-1703 | 2019-04-01 |
| 1770056202 | Abigail Quinn | Occupational Therapist | 2924 Woodview Dr, Erie, PA 16506-4412 | 2019-01-08 |
| 1285115972 | Alexa Snyder | Occupational Therapist | 2544 Hope Dr Apt 1, Erie, PA 16510 | 2018-08-22 |
| 1831542059 | Linda Foos | Occupational Therapist | 1688 Bain Dr, Erie, CO 80516-7221 | 2016-07-22 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1811367378 | Gabrielle Hayes | Occupational Therapist | 2519 Poplar St, Erie, PA 16502-2558 | 2015-09-28 |
| Find all providers in ERIE | ||||
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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.