DOMENIQUE MCMAHAN


Address: 3012 Holben Ct, Lake Orion, MI 48360-1671
Phone: 5868549874

DOMENIQUE MCMAHAN (NPI# 1801400734) 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) 1801400734
Entity Type Individual
Full Name DOMENIQUE MCMAHAN
Credential COTAL
Practice Address 3012 Holben Ct
Lake Orion
MI 48360-1671
Practice Telephone 5868549874
Enumeration Date 2020-09-08
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 5202008445 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3012 HOLBEN CT
City LAKE ORION
State MI
Zip Code 48360-1671

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124409446 Kyle Vires Licensed Practical Nurse 2271 Geyer Ct, Lake Orion, MI 48360 2015-06-11
1871931592 Ihsan Asbahi Anesthesiology 1234 S Lapeer Rd, Lake Orion, MI 48360 2013-06-05
1205119567 Michigan Bone and Joint Center Orthopaedic Surgery 1251 S. Lapeer Rd., Suite #102, Lake Orion, MI 48360 2011-09-23
1629226139 Travis L Summerville Physical Therapist 1298 Walloon Way, Lake Orion, MI 48360 2008-09-09
1982878609 Audrey Vizzaccaro Physician Assistant 1261 South Lapeer Rd, Ste 201, Lake Orion, MI 48360 2008-04-14
1881872265 H & L Drugs Inc Durable Medical Equipment & Medical Supplies 1455 S Lapeer, Suite 101, Lake Orion, MI 48360 2008-02-07
1598952129 Oakland Psychological Clinic, P.C. Counselor 1455 S Lapeer Rd Ste 175n, Lake Orion, MI 48360 2007-09-27
1700098704 Laura Elizabeth Salome Audiologist 1176 S. Lapeer Rd, Lake Orion, MI 48360 2007-05-04
1780743658 Frank James Iulianelli Chiropractor 2523 South Lapeer Road, Lake Orion, MI 48360 2006-12-07
1942377122 James C Komendera Dds PC Dentist 1135 S Lapeer Rd, Lake Orion, MI 48360 2006-11-30
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487077830 Leisa Bowler Occupational Therapy Assistant 2091 W View Ct, Lake Orion, MI 48360-2287 2014-01-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356941199 Juanita Samantha Williams Occupational Therapy Assistant 6837 Grandville Ave, Detroit, MI 48228-3984 2020-10-30
1508464785 Shaun Watson Occupational Therapy Assistant 7272 Eastern Ave Se, Grand Rapids, MI 49508-7436 2020-10-11
1285231563 Jennifer L Herrera Occupational Therapy Assistant 10189 Elizabeth Lake Rd, White Lake, MI 48386-2736 2020-10-08
1518564178 Stephanie Suzanne Jett Occupational Therapy Assistant 32295 Farmersville Rd, Farmington Hills, MI 48334-3500 2020-10-07
1659985513 Claudia Jeanne Perry Occupational Therapy Assistant 3895 Lone Pine Rd Apt 302, West Bloomfield, MI 48323-2939 2020-09-08
1891305363 Stephanie Lynn Lembach-witmer Occupational Therapy Assistant 11378 Autumn Breeze Trl, Clio, MI 48420-1592 2020-08-08
1215565445 Brook Keller Occupational Therapy Assistant 8371 Fairlane Dr Apt 5, Birch Run, MI 48415-9774 2020-04-01
1790311033 Emily E Coleman Occupational Therapy Assistant 4465 Bristolwood Dr, Flint, MI 48507-3722 2020-03-18
1144853789 Marissa Marie Bennwitz Occupational Therapy Assistant E5324 Sunset Rd, Ironwood, MI 49938-9342 2020-02-21
1548891773 Lisa R White Occupational Therapy Assistant 1425 Sheridan Ave, Niles, MI 49120-1949 2020-01-27
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Competitor

Search similar providers

City LAKE ORION
Zip Code 48360

Improve Information

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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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