STACEY JABERG (NPI# 1821653478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821653478 |
Entity Type | Individual |
Full Name | STACEY JABERG |
Practice Address |
3197 S 400 W Peru IN 46970-8889 |
Practice Telephone | 7654702388 |
Mailing Telephone | 7654702388 |
Enumeration Date | 2019-05-08 |
Last Update Date | 2019-05-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3197 S 400 W |
City | PERU |
State | IN |
Zip Code | 46970-8889 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
Find all providers in zip 46970 |
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 |
---|---|---|---|---|
1710508932 | Erin Elizabeth Eaton | Recreation Therapist | 11807 Allisonville Rd # 104, Fishers, IN 46038-2313 | 2020-04-28 |
1467019059 | Elizabeth Ann Holsopple | Recreation Therapist | 12727 20b Rd, Argos, IN 46501-9760 | 2019-05-20 |
1164890786 | Rheta Denise Conner | Recreation Therapist | 247 N 600 E, Avilla, IN 46710-9616 | 2015-09-14 |
1124496096 | Caroline Ann Kracium | Recreation Therapist | 8906 N 150 E, Ossian, IN 46777-9111 | 2015-09-09 |
1639319742 | Heather Marie Souers | Recreation Therapist | 1100 S Paper Birch Ct, Bloomington, IN 47403-4584 | 2009-03-02 |
1861661464 | Karen Rene' Thompson | Recreation Therapist | 3415 S Ashwood Dr, Bloomington, IN 47401-9763 | 2008-02-27 |
1699943555 | Michelle Dincecco Greenawald | Recreation Therapist | 3306 Greyfox Dr, Valparaiso, IN 46383-2683 | 2008-02-13 |
1538372016 | Lacey Lynne Robinson | Recreation Therapist | 11354 Mainsail Ct, Fishers, IN 46037-9150 | 2007-05-08 |
1902021751 | Gigi M.georgianne Voorhies | Recreation Therapist | 410 S Westwood Dr, Bloomington, IN 47403-1781 | 2007-04-16 |
1598836637 | Ginny L France | Recreation Therapist | 3827 Negley Ave, Evansville, IN 47715-1835 | 2006-11-12 |
Find all providers with the same taxonomy |
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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.