MRS. LORI PENDERGRASS (NPI# 1023439403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023439403 |
| Entity Type | Individual |
| Full Name | MRS. LORI PENDERGRASS |
| Other Name | LORI GASPARD |
| Credential | MS OTR/L |
| Practice Address |
910 Springfield Rd Willow Springs MO 65793 |
| Mailing Address |
Po Box 392 Willow Springs MO 65793-0392 |
| Practice Telephone | 4172171811 |
| Mailing Telephone | 4172171811 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2013020044 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Kentucky Ave, West Plains, MO 65775 | 4172575959 | 4172575814 |
| Street Address |
910 SPRINGFIELD RD |
| City | WILLOW SPRINGS |
| State | MO |
| Zip Code | 65793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033534 | Good Graces, LLC | Pharmacy | 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 | 2020-11-03 |
| 1427526565 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-11-07 |
| 1124514476 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-07-10 |
| 1912151960 | Matthew Eugene Mansfield | Dentist | 2729 State Route 76 West, Willow Springs, MO 65793 | 2008-11-04 |
| 1407950520 | Lester E Cox Medical Centers | Family Medicine | 816 E Main, Willow Springs, MO 65793 | 2006-09-11 |
| 1972771657 | Mercy Clinic Springfield Communities | Family Medicine | 1202 E Main St, Willow Springs, MO 65793 | 2008-02-14 |
| 1366443913 | Willow Health Care Inc | Home Health | 2642 State Route 76, Willow Springs, MO 65793-0000 | 2005-08-04 |
| 1598742777 | Alexander Mark Prorok | Counselor | 3670 County Road 4990, Willow Springs, MO 65793-0506 | 2005-12-28 |
| 1548341019 | Laura Louise Curtis | Counselor | 2695 Sr U, Willow Springs, MO 65793-0631 | 2006-10-18 |
| 1629125000 | Aldyth R Huston | Occupational Therapist | 215 W 4th St, Willow Springs, MO 65793-1118 | 2007-01-05 |
| Find all providers in zip 65793 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294361 | Carolyn Marie Placht | Occupational Therapy Assistant | 4019 Shenandoah Ave, Saint Louis, MO 63110-3928 | 2020-10-26 |
| 1053927129 | Kirk Zimmermann | Occupational Therapy Assistant | 1907 Congress St, Saint Louis, MO 63118-1705 | 2020-09-23 |
| 1942814363 | Marquita S Powell | Occupational Therapy Assistant | 9444 Duenke Dr, Saint Louis, MO 63137-1212 | 2020-09-02 |
| 1740806025 | Ashely Moore | Occupational Therapy Assistant | 27 Reinke Rd, Ellisville, MO 63021-4700 | 2020-06-22 |
| 1619505534 | Bethany Rice | Occupational Therapy Assistant | 124 Nw 90th Rd, Lamar, MO 64759-8154 | 2020-03-27 |
| 1366076929 | Kourtney Brooke Anderson | Occupational Therapy Assistant | 710 Newton Ave, Kahoka, MO 63445-1009 | 2020-02-23 |
| 1619508561 | Halley Jean Hawkins | Occupational Therapy Assistant | 9221 N Garfield Ave, Kansas City, MO 64155-3260 | 2020-01-29 |
| 1518503895 | Chavone Bonwell | Occupational Therapy Assistant | 13000 Corrington Ave, Grandview, MO 64030-2732 | 2019-11-21 |
| 1134763816 | Allyson Kristine Barone | Occupational Therapy Assistant | 5178 King St, Imperial, MO 63052-4000 | 2019-11-05 |
| 1962046862 | Kimberly Sue Bollinger | Occupational Therapy Assistant | 2085 Bluestone Dr, Saint Charles, MO 63303-6726 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW SPRINGS |
| Zip Code | 65793 |
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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.