KELLY HEYSE (NPI# 1871994186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871994186 |
| Entity Type | Individual |
| Full Name | KELLY HEYSE |
| Credential | COTA/L |
| Practice Address |
1000 E Tinkham Ave Ludington MI 49431-1568 |
| Practice Telephone | 2318456291 |
| Practice Fax Number | 2318434121 |
| Mailing Telephone | 2318456291 |
| Mailing Fax Number | 2318434121 |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2014-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202005019 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1000 E TINKHAM AVE |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544163 | Laura Lee Strong | Occupational Therapist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2005-08-03 |
| 1770075285 | Jennifer Briggs | Student in an Organized Health Care Education/Training Program | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2018-05-31 |
| 1619493905 | Ludington Opco, LLC | Skilled Nursing Facility | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2017-08-17 |
| 1669902698 | Mary-kathryn Nothaft | Occupational Therapist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2017-06-13 |
| 1730531344 | Jeanne Ann Kavanagh | Occupational Therapist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2016-07-07 |
| 1487015327 | Jessica Fiting | Occupational Therapist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2016-03-18 |
| 1124491295 | Tammy Lynn Hutson | Occupational Therapy Assistant | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2015-11-11 |
| 1114319860 | Brenden Peterson | Speech-Language Pathologist | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2015-03-03 |
| 1861883829 | Jack Leonard | Occupational Therapy Assistant | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2015-02-12 |
| 1467850818 | Fmg East Tinkham Avenue Michigan LLC | Skilled Nursing Facility | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2014-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053698050 | Sasha Irene Swihart | Occupational Therapy Assistant | 5356 W Chauvez Rd, Ludington, MI 49431-9758 | 2011-11-04 |
| 1124491295 | Tammy Lynn Hutson | Occupational Therapy Assistant | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2015-11-11 |
| 1861883829 | Jack Leonard | Occupational Therapy Assistant | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2015-02-12 |
| 1962831024 | Jeff Todd Carter | Occupational Therapy Assistant | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2013-11-08 |
| 1891124129 | Judith Marie Birbeck | Occupational Therapy Assistant | 1000 E Tinkham Ave, Ludington, MI 49431-1568 | 2013-11-07 |
| 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 |
| 1801400734 | Domenique Mcmahan | Occupational Therapy Assistant | 3012 Holben Ct, Lake Orion, MI 48360-1671 | 2020-09-08 |
| 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 |
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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.