MRS. STACEY ANN ETHERTON-AGIUS


Address: 261 Mack Ave, Detroit, MI 48201-2417
Phone: 3137450982

MRS. STACEY ANN ETHERTON-AGIUS (NPI# 1851884076) 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) 1851884076
Entity Type Individual
Full Name MRS. STACEY ANN ETHERTON-AGIUS
Credential OTRL
Practice Address 261 Mack Ave
Detroit
MI 48201-2417
Mailing Address 1789 Broadstone Rd
Grosse Pointe Woods
MI 48236-1950
Practice Telephone 3137450982
Mailing Telephone 3132129722
Enumeration Date 2018-06-12
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0019X Occupational Therapist
Specialization: Physical Rehabilitation
5201001866 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 261 MACK AVE
City DETROIT
State MI
Zip Code 48201-2417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225038904 Scott Richard Millis Clinical Neuropsychologist 261 Mack Ave, Rehabilitation Institute of Michigan, Rm 552, Detroit, MI 48201-2417 2005-07-26
1639781057 Jared Thomas Kurdunowicz Physical Therapist 261 Mack Ave, Detroit, MI 48201-4820 2020-08-18
1497373211 Rachel Smith Physical Therapist 261 Mack Ave, Detroit, MI 48201-2495 2020-07-08
1083252340 Abbey Rae Stuhldreher Physical Therapist 261 Mack Ave, Detroit, MI 48201-2417 2019-12-18
1316593452 Stephanie Hollander Specialist/Technologist 261 Mack Ave, Detroit, MI 48201-2417 2019-08-14
1801354147 Jordan Malik Lawal Physical Therapist 261 Mack Ave, Detroit, MI 48201-2417 2019-03-06
1164980553 Kelsey Ann Vanamberg Physical Therapist 261 Mack Ave, Detroit, MI 48201-2417 2019-03-05
1720545262 Mahtab Koochaki Physical Therapist 261 Mack Ave, Detroit, MI 48201-2417 2019-02-20
1760954564 Courtney Meram Physical Therapist 261 Mack Ave, Detroit, MI 48201-2417 2018-12-19
1710457999 Joyal Dee Pavey Occupational Therapist 261 Mack Ave, Detroit, MI 48201-2417 2018-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 225XP0019X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Physical Rehabilitation

Taxonomy Definition

Occupational therapists are experts at helping people lead as independent a life as possible. Occupational therapists bring an understanding of the physical and psychological implications of illness and injury and their effects on peoples' ability to perform the tasks of daily living. Occupational therapists provide interventions that can aide a person in completing ADL and IADL tasks, such as dressing, bathing, preparing meals, and driving. They also may fabricate custom orthotics to improve function, evaluate the environment for safety hazards and recommend adaptations to remove those hazards, help a person compensate for cognitive changes, and build a persons’ physical endurance and strength. Occupational therapists' knowledge of adapting tasks and modifying the environment to compensate for functional limitations is used to increase the involvement of clients and to promote safety and success.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Physical Rehabilitation Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Consumer Tip Sheets: Stroke, Hip

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740779271 Janet Lang Occupational Therapist 15750 Joy Rd, Detroit, MI 48228-2196 2018-05-10
1609379338 Lisa Jo Schlicker Occupational Therapist 7800 W Outer Dr, Detroit, MI 48235-3461 2018-03-08
1437651536 Katherine Jo Ball Occupational Therapist 2799 W Grand Blvd, Detroit, MI 48202-2608 2018-03-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720616824 Dmc Physical Therapy LLC Occupational Therapist 3120 Carpenter St Ste 107, Hamtramck, MI 48212-2771 2020-04-01
1376173161 Personal Injury Physical Therapy & Rehab LLC Occupational Therapist Personal Injury Physical Therapy & Rehab LLC, 28763 Northwestern Hwy, Ste 101, Southfield, MI 48034-1842 2020-01-21
1013550052 Cherrelle Van Coppenolle Occupational Therapist 650 Stratford Rd, Ferndale, MI 48220-2369 2019-10-22
1033778683 Gayle Naomi Kokmeyer Occupational Therapist 820 John St Ste 104, Kalamazoo, MI 49001-2836 2019-06-07
1528527819 Hameed Abdulla Almreisi Occupational Therapist 3151 Hanley St, Hamtramck, MI 48212-3509 2019-03-15
1982176442 Thomas Patrick Lilley Occupational Therapist 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 2018-12-21
1083185870 Carlo Nagtalon Occupational Therapist 1240 Stacy Dr, Canton, MI 48188-1430 2018-12-06
1225518731 Debra M Burkholder Occupational Therapist 9120 Trails End Dr, Montague, MI 49437-9264 2018-08-15
1750869988 Leanna Lynn Lopez Occupational Therapist 4286 Mcgunn Rd, Howell, MI 48843 2018-07-31
1114428737 Triston Rae Ekleberry Occupational Therapist 3601 West 13 Mile, Royal Oak, MI 48073 2018-02-28
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Competitor

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City DETROIT
Zip Code 48201

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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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