MRS. JENNIFER GANDOLFO (NPI# 1013053735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013053735 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER GANDOLFO |
| Credential | OTR |
| Practice Address |
1307 Soft Crossing Ln O Fallon MO 63366-1481 |
| Practice Telephone | 3144408985 |
| Mailing Telephone | 3144408985 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2000163193 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720159353 | Jennifer M Gandolfo | Physical Therapist | 150 Us Highway 1 Byp, Portsmouth, NH 03801-5332 | 2006-11-13 |
| Street Address |
1307 SOFT CROSSING LN |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| 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 |
|---|---|---|---|---|
| 1457712861 | Karen Michelle Mitchell | Occupational Therapist | 354 Dennison Dr, O Fallon, IL 62269-3528 | 2016-03-11 |
| 1780049841 | Matthew Richard Gold | Occupational Therapist | 259 Brougham Dr, O Fallon, MO 63368-8001 | 2015-12-16 |
| 1669855516 | Danielle Boll | Occupational Therapist | 1623 Foggy Meadow Dr, O Fallon, MO 63366-1462 | 2015-07-09 |
| 1265813505 | Kyna Thorberg | Occupational Therapist | 203 Country Vista Dr, O Fallon, MO 63367-5856 | 2015-06-12 |
| 1376946293 | Amanda Lee Wilson | Occupational Therapist | 111 Dean Ave, O Fallon, IL 62269-1614 | 2014-10-06 |
| 1225440225 | Svetlana Simonyan | Occupational Therapist | 1630 Market Center Dr # Dr200, O Fallon, MO 63368-8407 | 2014-05-24 |
| 1215278684 | Mae Arabelle Reyes Holmes | Occupational Therapist | 856 Chesapeake Junction Ln, O Fallon, IL 62269-6983 | 2013-03-11 |
| 1881947158 | Emily Nicole Pike | Occupational Therapist | 634 N Main St Ste 1, O Fallon, IL 62269-3746 | 2012-10-23 |
| 1851673552 | Soofia Afzal Naqvi | Occupational Therapist | 6945 Clayborne Dr, O Fallon, MO 63368-6203 | 2011-09-19 |
| 1801189642 | Rehab Management Group, LLC | Occupational Therapist | 210 Hartman Ln, Ste 500, O Fallon, IL 62269-1779 | 2011-05-26 |
| Find all providers in O FALLON | ||||
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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.