MS. SUSAN EVE KELLY (NPI# 1003029091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003029091 |
| Entity Type | Individual |
| Full Name | MS. SUSAN EVE KELLY |
| Credential | MPA,OTL |
| Practice Address |
79 Blueberry La Laconia NH 03246 |
| Mailing Address |
207 Fort Point Rd Alton Bay NH 03810-6071 |
| Practice Telephone | 6035243340 |
| Mailing Telephone | 6038752523 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0887 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1992265003 | Susan Elizabeth Kelly | Nurse Practitioner | 239 Clifford Price Loop, Mooresburg, TN 37811-2337 | 2019-03-24 |
| 1770956617 | Susan Dale Kelly | Social Worker | 524 Brighton Ave, Spring Lake, NJ 07762-1561 | 2015-10-31 |
| 1356773097 | Susan J. Kelly | Social Worker | 31 Ownly Ave, West Haven, CT 06516-1245 | 2013-08-05 |
| 1992046007 | Susan Kelly | Nurse Practitioner | 3001 S Lincoln Ave Ste A, Steamboat Springs, CO 80487-1790 | 2013-03-14 |
| 1063708758 | Susan Fay Kelly | Social Worker | 100 So. Highland, Ossining, NY 10562 | 2011-06-22 |
| 1043386246 | Susan Kelly | Social Worker | 42 Wendell Avenue, Pittsfield, MA 01201 | 2006-11-28 |
| 1669566139 | Susan S Kelly | Physical Therapist | 1340 Lake Blvd., Davis, CA 95616 | 2006-10-02 |
| 1548200074 | Susan C Kelly | Dermatology | 7 Weaver Rd, North Kingstown, RI 02852-7135 | 2006-06-06 |
| 1679114581 | Susan M Kelly | Pediatrics | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2019-10-01 |
| Street Address |
79 BLUEBERRY LA |
| City | LACONIA |
| State | NH |
| Zip Code | 03246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1982816823 | Laconia Housing & Redevelopment Authority | Home Health | 25 Union Avenue, Laconia, NH 03246 | 2007-05-04 |
| Find all providers in zip 03246 | ||||
| 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 |
|---|---|---|---|---|
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1801851001 | Robin L Tacker | Occupational Therapist | 67 Communication Dr, Laconia, NH 03246-1440 | 2006-04-19 |
| 1861020083 | Christina Martland | Occupational Therapist | 435 Union Ave, Laconia, NH 03246-2814 | 2020-04-01 |
| 1912556275 | Desirae Anne Leblanc | Occupational Therapist | 21 Ledges Dr, Laconia, NH 03246-2590 | 2019-09-10 |
| 1326604968 | Kayla Marie Mucher | Occupational Therapist | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2019-05-18 |
| 1508383951 | Alyson Stanton | Occupational Therapist | 30 County Dr, Laconia, NH 03246-2900 | 2017-08-26 |
| 1912454679 | Daniel Wogksch | Occupational Therapist | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2016-09-09 |
| 1093163693 | G. H. Reed Liset | Occupational Therapist | 80 Highland St, Laconia, NH 03246-3235 | 2016-05-25 |
| 1720468978 | Jme M Valley | Occupational Therapist | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2015-06-03 |
| 1679997969 | Cheryl Rollins | Occupational Therapist | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2014-02-07 |
| Find all providers in LACONIA | ||||
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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.