MS. GRACE DEMUCH (NPI# 1801443999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801443999 |
| Entity Type | Individual |
| Full Name | MS. GRACE DEMUCH |
| Credential | CTRS, CBIS, ATRI |
| Practice Address |
600 Stephenson Hwy Troy MI 48083-1110 |
| Practice Telephone | 2489514000 |
| Mailing Telephone | 2489514000 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 1291 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
600 STEPHENSON HWY |
| City | TROY |
| State | MI |
| Zip Code | 48083-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598897845 | Laurie Anne Bohdan | Psychologist | 600 Stephenson Hwy, Troy, MI 48083-1110 | 2007-03-12 |
| 1386254340 | Resilire Neurorehabilitation LLC | Clinic/Center | 600 Stephenson Hwy, Troy, MI 48083-1110 | 2020-08-05 |
| 1659929263 | Megan Harris | Physical Therapist | 600 Stephenson Hwy, Troy, MI 48083-1110 | 2019-08-27 |
| 1790340420 | Brittany A Kassab | Speech-Language Pathologist | 600 Stephenson Hwy, Troy, MI 48083-1110 | 2019-05-08 |
| 1548794308 | Brittany Krejci | Speech-Language Pathologist | 600 Stephenson Hwy, Troy, MI 48083-1110 | 2017-04-18 |
| 1972045466 | Ashley Demeniuk | Psychologist | 600 Stephenson Hwy, Troy, MI 48083-1110 | 2016-11-15 |
| 1780059436 | Samantha Neirynck | Speech-Language Pathologist | 600 Stephenson Hwy, Troy, MI 48083 | 2015-12-07 |
| 1649645706 | Sandra Monast | Social Worker | 600 Stephenson Hwy, Troy, MI 48083-1110 | 2015-12-01 |
| 1952740730 | Beverly Janet Zimmerman | Occupational Therapist | 600 Stephenson Hwy, Troy, MI 48083-1110 | 2013-06-14 |
| 1932547486 | Supriya Joshi | Physical Therapist | 600 Stephenson Hwy, Troy, MI 48083-1110 | 2013-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1376852962 | Susan Arley Hearne | Recreation Therapist | 5482 Berwyck Dr, Troy, MI 48085-3282 | 2010-09-29 |
| 1912409871 | Onward Personal Training LLC | Recreation Therapist | 3250 W Big Beaver Rd Ste 228, Troy, MI 48084 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006728 | Tara Ann Fedewa | Recreation Therapist | 915 Laurelwood Dr, Lansing, MI 48917-7725 | 2020-09-08 |
| 1225651714 | Caroline Rose Marcon | Recreation Therapist | 15227 Payne Ct, Dearborn, MI 48126-3030 | 2020-05-19 |
| 1205469897 | Megan Groat | Recreation Therapist | 914 Lake Dr, Oxford, MI 48371-5716 | 2020-02-21 |
| 1215560040 | Ashley Melyn Phelps | Recreation Therapist | 6714 Northland Dr Ne, Rockford, MI 49341-9201 | 2020-02-20 |
| 1538708680 | Caylie Hosey | Recreation Therapist | 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 | 2020-01-06 |
| 1205480472 | Keilahna Castillo | Recreation Therapist | 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 | 2019-07-26 |
| 1134789514 | Cynthia Guzi | Recreation Therapist | 4469 Lutz Dr, Warren, MI 48092-1750 | 2019-06-18 |
| 1780244160 | Derenda Lefevre | Recreation Therapist | 3724 Noble Rd, Oxford, MI 48370-1514 | 2019-06-18 |
| 1407416886 | Jenna Black | Recreation Therapist | 28328 N Skye Dr, Farmington Hills, MI 48334-5335 | 2019-06-18 |
| 1225698608 | Carly Jane Rhodea | Recreation Therapist | 6906 Severance Rd, Cass City, MI 48726-9202 | 2019-06-18 |
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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.