| Therapeutic Advantage Llc | |
|
30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | |
| (248) 893-6192 | |
| Not Available |
| Full Name | Therapeutic Advantage Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 30903 W 10 Mile Rd Ste B, Farmington Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184038341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 5201008046 (Michigan) | Primary |
| Provider Name | Jessica Ravineala |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447531769 PECOS PAC ID: 9638395700 Enrollment ID: I20140725000866 |
| Provider Name | Andrea M House |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215113246 PECOS PAC ID: 2961720107 Enrollment ID: I20150418000001 |
| Provider Name | Stefanie Mitchell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013423508 PECOS PAC ID: 4688932619 Enrollment ID: I20171221001521 |
| Provider Name | Jaimie Marie Durden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376069450 PECOS PAC ID: 2466792270 Enrollment ID: I20190313003006 |
| Provider Name | Julianne Claire Martin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982261731 PECOS PAC ID: 7012244379 Enrollment ID: I20190808002445 |
| Provider Name | Megan Marie Metcalf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336677673 PECOS PAC ID: 2163849696 Enrollment ID: I20200831000131 |
| Provider Name | Christina Yaldo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407442072 PECOS PAC ID: 6507279155 Enrollment ID: I20201229000877 |
| Provider Name | Taylor Naumann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700490653 PECOS PAC ID: 9032524301 Enrollment ID: I20210218001679 |
| Provider Name | Janel Davis-heitzmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164735841 PECOS PAC ID: 5496158016 Enrollment ID: I20210720002997 |
| Provider Name | Tori Bakewell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134747181 PECOS PAC ID: 3173927589 Enrollment ID: I20210806002652 |
| Provider Name | Muhiba Mehmedovic |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487173068 PECOS PAC ID: 4082019278 Enrollment ID: I20210826001314 |
| Provider Name | Bianca Aakesson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881267318 PECOS PAC ID: 4183021686 Enrollment ID: I20210927001625 |
| Provider Name | Anya Rowe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760144257 PECOS PAC ID: 6901204445 Enrollment ID: I20211013001834 |
| Provider Name | Rachel Marie Wills |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093218190 PECOS PAC ID: 9739569930 Enrollment ID: I20220706001446 |
| Provider Name | Jennifer L Rhein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194008938 PECOS PAC ID: 0840670782 Enrollment ID: I20220708002394 |
| Provider Name | Amma Perozo Morles |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396455192 PECOS PAC ID: 7618346016 Enrollment ID: I20221207000181 |
| Provider Name | Elizabeth Parr |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174240188 PECOS PAC ID: 6507236767 Enrollment ID: I20230104000636 |
| Provider Name | Theresa Marie Saporito |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043717689 PECOS PAC ID: 5597138834 Enrollment ID: I20230307001385 |
| Provider Name | Haley Samantha Seidman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003468307 PECOS PAC ID: 8527427343 Enrollment ID: I20230711001945 |
| Provider Name | Brigit Convery |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003318932 PECOS PAC ID: 2062875453 Enrollment ID: I20230901001089 |
| Provider Name | Olivia Oldham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588445928 PECOS PAC ID: 2961850227 Enrollment ID: I20231127002140 |
| Provider Name | Amy L. Shoemaker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881138667 PECOS PAC ID: 7315387669 Enrollment ID: I20240502004003 |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Advantage Llc 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336-2615 Ph: () - | Therapeutic Advantage Llc 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 Ph: (248) 893-6192 |
Maureen Ann Kuznicki, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8759 Fax: 248-471-8607 | |
Karen Watson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8604 | |
Mr. Daniel Joseph Parsell, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34505 W 12 Mile Rd Ste 100, Farmington Hills, MI 48331 Phone: 855-559-7178 | |
Stefanie Mitchell, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 Phone: 248-893-6192 | |
Kristin Voigt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8753 | |
Erin Torrence, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 Phone: 248-893-6192 Fax: 248-457-5490 | |
Patricia Lynn Jarvis, OTL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34505 W 12 Mile Rd Ste 100, Farmington Hills, MI 48331 Phone: 855-559-7178 |