CARISA BETHANY HRUBETZ (NPI# 1962992156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962992156 |
| Entity Type | Individual |
| Full Name | CARISA BETHANY HRUBETZ |
| Other Name | CARISA BETHANY HILLMAN |
| Credential | OT |
| Practice Address |
11800 Xeon Blvd Nw Coon Rapids MN 55448-2061 |
| Mailing Address |
11800 Xeon Blvd Nw Coon Rapids MN 55448-2099 |
| Practice Telephone | 7637558400 |
| Practice Fax Number | 7637558575 |
| Mailing Telephone | 7637558400 |
| Mailing Fax Number | 7637558578 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT-105351 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1962499566 | 05 | |
| MN | STATE LICENSE | OT-105351 | 01 |
| Street Address |
11800 XEON BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55448-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962499566 | Camilia Rose Company Inc | Skilled Nursing Facility | 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 | 2005-09-29 |
| 1811505829 | Macaila Hinker | Occupational Therapist | 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 | 2020-07-15 |
| 1922616101 | Kelly Anne Schenk | Speech-Language Pathologist | 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 | 2020-07-14 |
| 1316459522 | Shauna Scepaniak | Occupational Therapist | 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 | 2017-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
| 1003345463 | Sarah Benepe | Occupational Therapy Assistant | 764 107th Ln Nw, Coon Rapids, MN 55448 | 2017-06-08 |
| 1700310299 | Orthodontics Specialist of Minnesota P.l.l.c. | Dentist | 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 | 2017-04-12 |
| 1528459906 | Shane R Fisher | Registered Nurse | 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 | 2015-02-06 |
| 1912395419 | Mn Dentistry, PC | Dentist | 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 | 2015-01-06 |
| 1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
| 1306142344 | At Home Health Care Inc. | Home Health | 1601 128th Lane Nw, Coon Rapids, MN 55448 | 2011-02-09 |
| 1245428317 | Cassandra Joice Carney | Massage Therapist | 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 | 2007-10-14 |
| 1982826434 | Merry Heart Home Care Inc | Home Health | 3248 131st Avenue Nw, Coon Rapids, MN 55448 | 2007-05-03 |
| 1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
| Find all providers in zip 55448 | ||||
| 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 |
|---|---|---|---|---|
| 1609300300 | Kelsey Smith | Occupational Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2017-04-19 |
| 1871961532 | Samantha Thayer | Occupational Therapist | 320 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-5640 | 2015-09-10 |
| 1720331960 | Kristi J Rueckert | Occupational Therapist | 13060 Arrowhead St Nw, Coon Rapids, MN 55448-1209 | 2012-10-25 |
| 1821368184 | Ashley S Melbostad | Occupational Therapist | 2104 Northdale Blvd Nw Ste 100, Coon Rapids, MN 55433-3045 | 2012-01-04 |
| 1033385398 | Michelle A Gollobit | Occupational Therapist | 1138 Oriole Ave, Coon Rapids, IA 50058-7518 | 2008-05-06 |
| 1841414794 | Alicia Jo Marten | Occupational Therapist | 300 Coon Rapids Blvd Nw Ste 200, Coon Rapids, MN 55433-5645 | 2007-04-12 |
| 1124158753 | Lance David Zarimba | Occupational Therapist | 2014 Northdale Blvd, Coon Rapids, MN 55433 | 2007-03-06 |
| 1932195807 | Jarrod C Handy | Occupational Therapist | 2104 Northdale Blvd Nw, Coon Rapids, MN 55433-3005 | 2005-09-26 |
| 1730789629 | Ellen Grace Barnhart | Occupational Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-10-29 |
| 1811505829 | Macaila Hinker | Occupational Therapist | 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 | 2020-07-15 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55448 |
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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.