MRS. AMANDA ELIZABETH NICOLUSSI (NPI# 1982935540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982935540 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA ELIZABETH NICOLUSSI |
| Other Name | AMANDA ELIZABETH HASELTINE |
| Credential | MOT, OTR/L |
| Practice Address |
9357 General Dr Plymouth MI 48170-4662 |
| Practice Telephone | 7344540866 |
| Mailing Telephone | 7344540866 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2013-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 5201008235 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
056.008910 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9357 GENERAL DR |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-4662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891856605 | Jennifer Marilyn Francis | Psychologist | 9357 General Dr, Ste. 101, Plymouth, MI 48170-4662 | 2006-12-13 |
| 1316308208 | Brenda Soverinsky | Speech-Language Pathologist | 9357 General Dr, Plymouth, MI 48170-4662 | 2016-03-18 |
| 1760843296 | Tamara Watson Nordbeck | Physical Therapist | 9357 General Dr, Suite 100, Plymouth, MI 48170-4662 | 2016-03-10 |
| 1407216930 | Rima Giedraitis | Speech-Language Pathologist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2016-02-25 |
| 1578922480 | Mariam Zaiat | Occupational Therapist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2016-02-19 |
| 1164881389 | Jennifer Lee Terpstra | Occupational Therapist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2016-02-16 |
| 1710373097 | Joshua Madding | Speech-Language Pathologist | 9357 General Dr, #101, Plymouth, MI 48170-4662 | 2015-04-13 |
| 1205230497 | Deborah C Kay | Occupational Therapist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2014-10-16 |
| 1891198115 | Jean Marie Walsh | Speech-Language Pathologist | 9357 General Dr, Plymouth, MI 48170-4662 | 2014-10-01 |
| 1942603485 | Chelsea Hazen | Speech-Language Pathologist | 9357 General Dr, Suite 101, Plymouth, MI 48170-4662 | 2014-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
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 Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083076087 | Samantha Dean | Occupational Therapist | 108 Tamarack Rd, Plymouth, MA 02360-1934 | 2016-03-28 |
| 1700251634 | Lisa Iarossi | Occupational Therapist | 130 Industrial Park Rd., Plymouth, MA 02360 | 2015-12-03 |
| 1831567270 | Michelle Lent | Occupational Therapist | 10533 Homestead Ln, Plymouth, MI 48170-5020 | 2015-09-02 |
| 1407103096 | Gail Terry Belaief | Occupational Therapist | 6 Allison Cir, Plymouth, MA 02360-5001 | 2012-08-14 |
| 1063555373 | Bryn Elizabeth Wasserman | Occupational Therapist | 3001 Harbor Lane North, Suite 120, Plymouth, MN 55447 | 2007-02-15 |
| 1710516893 | Susan E Lovett-delanoy | Occupational Therapist | 85 Main St Ste 311, Plymouth, NH 03264-1500 | 2020-04-02 |
| 1174159909 | Alyssa Kathleen Pattison | Occupational Therapist | 85 Main St Ste 311, Plymouth, NH 03264-1500 | 2020-03-12 |
| 1821623729 | Tyler Santucci | Occupational Therapist | 85 Main St Ste 311, Plymouth, NH 03264-1500 | 2020-03-11 |
| 1508340480 | Shoshana Rubin | Occupational Therapist | 11140 Highway 55, Plymouth, MN 55441-6016 | 2018-09-18 |
| 1871033183 | Anne Hill | Occupational Therapist | 46200 Port St, Plymouth, MI 48170-6048 | 2017-03-06 |
| Find all providers in PLYMOUTH | ||||
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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.