MS. STEPHANIE E MOON (NPI# 1992273809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992273809 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE E MOON |
| Credential | OTRL |
| Practice Address |
1490 E Beltline Ave Se Grand Rapids MI 49506-4336 |
| Practice Telephone | 6169400040 |
| Mailing Telephone | 6169400040 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201010416 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497199541 | Stephanie A Moon | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1675 Buck Rd, Crozet, VA 22932-2720 | 2013-04-19 |
| 1306038955 | Stephanie M Moon | Nurse Practitioner | 1072 Justison St, Wilmington, DE 19801-5162 | 2007-08-16 |
| 1861099426 | Stephanie J Moon | Social Worker | 3100 47th Ave Ste 3100, Long Island City, NY 11101-3050 | 2020-10-07 |
| 1295238020 | Stephanie Moon | Occupational Therapist | 522 S San Pedro St, Los Angeles, CA 90013-2102 | 2018-03-18 |
| 1447781448 | Stephanie Moon | Nurse Practitioner | 2301 E 14th St, Des Moines, IA 50316-1901 | 2017-03-22 |
| Street Address |
1490 E BELTLINE AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528043544 | Hope Network - Rehabilitation Services | Psychologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2005-12-13 |
| 1447859343 | Dianee Green | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-21 |
| 1104425198 | Hans Jacob Stimac | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-20 |
| 1346848835 | Katherine D Westfall | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-15 |
| 1518564806 | Lisa Merkiel | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-08 |
| 1578178919 | Kevin Guggemos | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-12 |
| 1053926998 | Amber Kay Mcglynn | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-08 |
| 1275147381 | Evan Shovels | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-04 |
| 1881207744 | Kendra Rose Coburn | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-08-28 |
| 1881207108 | Sarah A Schulte | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| 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 |
|---|---|---|---|---|
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1033771522 | Abigail Peters | Occupational Therapist | 1845 Boston St Se, Grand Rapids, MI 49506-4400 | 2019-07-03 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1508342403 | Kelsey Elizabeth Ewald | Occupational Therapist | 910 Hovey St Sw, Grand Rapids, MI 49504-6230 | 2018-07-13 |
| 1386138113 | Judith Helen Siegert | Occupational Therapist | 4450 Cascade Rd Se Ste 200, Grand Rapids, MI 49546-3633 | 2018-06-15 |
| 1689164535 | Kerry Ann Macdonald | Occupational Therapist | 1147 Sibley St Nw, Grand Rapids, MI 49504-5459 | 2018-05-16 |
| 1821595711 | Karen Amal Farhat-hendricks | Occupational Therapist | 3683 Maplebrook Dr Nw, Grand Rapids, MI 49534-2709 | 2018-04-09 |
| 1003310848 | Jessica Michelle Flood | Occupational Therapist | 2750 E Beltline Ave Ne # Mc279, Grand Rapids, MI 49525-8614 | 2018-03-19 |
| 1043713175 | Stacey Marie Schaub | Occupational Therapist | 750 Fuller Avenue, Grand Rapids, MI 49503 | 2018-03-15 |
| 1467955906 | Rachelle Schultz | Occupational Therapist | 4234 Shadowlawn Ct Ne, Grand Rapids, MI 49525-1921 | 2018-03-12 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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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.