BODY & SOUL MFR THERAPY LLC
NPI 1376287896
Occupational Therapist in Green Bay, WI

Active since April 21, 2022
110 PACKERLAND DR STE C2, GREEN BAY, WI 54303(920) 209-0012(920) 888-2409 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2024, Dec 22, 2022, Apr 21, 2022 (3 updates tracked since 2022).

About Body & Soul Mfr Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BODY & SOUL MFR THERAPY LLC (NPI 1376287896) is a healthcare organization registered as an occupational therapist in Green Bay, Wisconsin and active in the NPI registry since April 2022. The organization lists Yvonne Vander Heiden, Owner, as its authorized official.

NPPES Registry Identity

NPI1376287896
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameBODY & SOUL MFR THERAPY LLC
Location Address110 PACKERLAND DR STE C2Green Bay, WI 54303-4861
Mailing Address121 W Town RdPulaski, WI 54162-9278 · (920) 209-0012
Fax(920) 888-2409
Organization SubpartYes
Authorized OfficialYvonne Vander HeidenOwner · (920) 209-0012
Enumeration DateApril 21, 2022
Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1376287896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition

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.

Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
110 PACKERLAND DR STE C2, Green Bay, WI 54303

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376287896, enumerated as an "organization" on April 21, 2022.

The provider is located at 110 PACKERLAND DR STE C2 GREEN BAY, WI 54303 and the phone number is (920) 209-0012.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Network. Please consult your insurance carrier or call the provider to verify.