MR. MARK D LEVERENZ OTR/L NPI 1275726952

Occupational Therapist in Golden, IL

Individual Male Occupational Therapist

About MARK LEVERENZ

Mark Leverenz is a provider established in Golden, Illinois and his medical specialization is occupational therapist. The NPI number of Mark Leverenz is 1275726952 and was assigned on August 2007. The practitioner's primary taxonomy code is 225X00000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI

1275726952

Provider NameMR. MARK D LEVERENZ OTR/L
Provider Location Address101 PRAIRIE MILLS RD GOLDEN, IL 62339
Provider Mailing Address7411 112TH ST BLUE GRASS, IA 52726
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-25-2007
Last Update Date08-25-2007

Primary Taxonomy

Taxonomy Code225X00000X
ClassificationOccupational Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License StateIL
Taxonomy DescriptionAn 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.

Business Address

MR. MARK D LEVERENZ OTR/L
101 PRAIRIE MILLS RD
GOLDEN, IL
ZIP 62339
Phone: (217) 696-4421

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Mailing Address

MR. MARK D LEVERENZ OTR/L
7411 112TH ST
BLUE GRASS, IA
ZIP 52726
Phone: (563) 343-4735

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134162399GOLDEN GOOD SHEPHERD HOME
Organization
Skilled Nursing Facility101 PRAIRIE MILLS RD
GOLDEN, IL 62339
(217) 696-4421
1457546277MRS. CARRIE R. COOK PT
Individual
Physical Therapist (Geriatrics)101 PRAIRIE MILLS RD
GOLDEN, IL 62339
(217) 696-4421
1639364979CAREMARK REHAB, LTD.
Organization
Physical Therapist101 PRAIRIE MILLS RD
GOLDEN, IL 62339
(217) 696-4421

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.