MR. PETER M MATENAER (NPI# 1861981805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861981805 |
| Entity Type | Individual |
| Full Name | MR. PETER M MATENAER |
| Credential | OTR/L |
| Practice Address |
2101 Wooddale Dr Ste A Woodbury MN 55125 |
| Mailing Address |
2101 Wooddale Dr Ste A Woodbury MN 55125-2933 |
| Practice Telephone | 6517389888 |
| Mailing Telephone | 6517389888 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 6429 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2101 Wooddale Dr Ste A, Woodbury, MN 55125 | 6517389888 |
| Street Address |
2101 WOODDALE DR STE A |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093828188 | Theresa M Nichols | Occupational Therapist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2006-08-16 |
| 1912508664 | Theresa Marie Thomas | Occupational Therapist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2020-11-07 |
| 1295372126 | Wendy Leigh Beaton-lanz | Speech-Language Pathologist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2019-12-10 |
| 1396386751 | Kari Hovey | Speech-Language Pathologist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2019-10-07 |
| 1467003152 | Will Hocker | Speech-Language Pathologist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2019-09-24 |
| 1790335511 | Kimberly Hotchkiss | Occupational Therapist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2019-09-13 |
| 1841849247 | Tiana Marie Bruer Burda | Occupational Therapist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2019-09-09 |
| 1679055149 | Mary Johannes | Speech-Language Pathologist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2018-08-31 |
| 1366938755 | Teresa Jean Gonia | Speech-Language Pathologist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2018-07-09 |
| 1386157337 | Chelsea Lee Payne | Occupational Therapist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2017-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1164031787 | Melissa Cayetano Sanchez | Occupational Therapist | 6990 Wyndham Way, Woodbury, MN 55125-2761 | 2020-07-29 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1871144733 | Independent Physical Therapy, LLC | Occupational Therapist | 201 S Mccrary St, Woodbury, TN 37190-1439 | 2019-09-23 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| 1609278324 | Jaclyn Collins | Occupational Therapist | 7734 Highpointe Rd, Woodbury, MN 55125-1633 | 2014-09-24 |
| 1396167938 | Helene Mcmillan | Occupational Therapist | 21 Euclid St, Woodbury, NJ 08096-4625 | 2014-01-16 |
| 1710221486 | Shannon Mae Traver | Occupational Therapist | 23 Plumb Brook Rd, Woodbury, CT 06798-2116 | 2012-11-19 |
| 1891005849 | Wendy Risa Ginsberg | Occupational Therapist | 4 Harvard Drive, Woodbury, NY 11797 | 2010-10-08 |
| 1144550914 | Krista Moore | Occupational Therapist | 6909 Ashwood Rd, Apt 101, Woodbury, MN 55125-1289 | 2009-12-30 |
| 1811220791 | Wendy Mara Shatz | Occupational Therapist | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2009-09-10 |
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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.