Stacey Marie Ohumukini (NPI# 1245623107, PAC ID# 3870811334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1245623107 |
| PAC ID by PECOS | 3870811334 |
| Professional Enrollment ID | I20150413001170 |
| Full Name | Stacey Marie Ohumukini |
| Organization Legal Name | INNOVATIVE THERAPY LLC |
| Address |
5480 Nathan Ln N 140 Karlins Center Plymouth MN 55442-1995 |
| Phone Number | 7635531933232 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 2668494436 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10000 51st Ave N, Asplin Center, Plymouth, MN 55442-3203 | 9523523978 | INNOVATIVE THERAPY LLC |
| 5480 Nathan Ln N, 140 Karlins Center, Plymouth, MN 55442-1995 | 7635531933232 | INNOVATIVE THERAPY LLC |
| Organization Legal Name | INNOVATIVE THERAPY LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Kay Fairchild | Occupational Therapy | Innovative Therapy LLC | 16820 197th Ave Nw, Options Inc, Big Lake, MN 55309-4828 |
| Kathleen E Holmes | Qualified Speech Language Pathologist | Innovative Therapy LLC | 7100 Shady Oak Rd, Eden Prairie, MN 55344-3517 |
| Street Address |
5480 NATHAN LN N 140 KARLINS CENTER |
| City | PLYMOUTH |
| State | MN |
| Zip | 55442-1995 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant R Smith | Optometry | 4190 Vinewood N Ln, Suite 109, Plymouth, MN 55442-1771 | |
| Nicholas Robert Curry | Chiropractic | 5480 Nathan N Ln, Suite 102, Plymouth, MN 55442-1995 | |
| Mitchell Alan Brecke | Chiropractic | Northern Edge Chiropractic LLC | 5480 Nathan N Ln, Suite 102, Plymouth, MN 55442-1995 |
| Michael B Shinder | Chiropractic | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442-2898 | |
| John K Valentini | Chiropractic | 4455 Hwy 169 N 200, Plymouth, MN 55442-2898 | |
| Samuel F Wolfson | Optometry | 9905 45th Ave N, Suite 110, Plymouth, MN 55442-3315 | |
| Kaikhushroo B Radmanesh | Internal Medicine | Regency Hospital of Minneapolis, LLC | 1300 Hidden Lakes Pkwy, Golden Valley, MN 55442-4286 |
| William R Jahnke Ii | Internal Medicine | Regency Hospital of Minneapolis, LLC | 1300 Hidden Lakes Pkwy, Golden Valley, MN 55442-4286 |
| Julia V Grigoriev | Internal Medicine | Regency Hospital of Minneapolis, LLC | 1300 Hidden Lakes Pkwy, Golden Valley, MN 55442-4286 |
| David B Pollak | Psychiatry | Regency Hospital of Minneapolis, LLC | 1300 Hidden Lakes Pkwy, Golden Valley, MN 55442-4286 |
| Find all physicians in zip 55442 | |||
| City | PLYMOUTH |
| Zip Code | 55442 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | PLYMOUTH + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Stacey Marie Ohumukini.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.