DAWN MICHELLE CICCARONE (NPI# 1033383658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033383658 |
| Entity Type | Individual |
| Full Name | DAWN MICHELLE CICCARONE |
| Practice Address |
1200 W Godfrey Ave Administration Suite Philadelphia PA 19141-3323 |
| Mailing Address |
1200 W Godfrey Ave Philadelphia PA 19141-3323 |
| Practice Telephone | 2152766000 |
| Practice Fax Number | 2152761329 |
| Mailing Telephone | 2152766000 |
| Mailing Fax Number | 2152761329 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC004125L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE NUMBER | OC004125L | 01 |
| Street Address |
1200 W GODFREY AVE ADMINISTRATION SUITE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720077902 | Stanley W Hatch | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2005-10-19 |
| 1487264438 | Fiza Tariq | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-08-05 |
| 1376151043 | Shaghayegh Mohebbi Hesari | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-20 |
| 1710505490 | Julia Gabrielle Runco | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-09 |
| 1013535798 | Laura Ann Davis | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-09 |
| 1013535848 | Elizabeth Marie Marunde | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| 1518585330 | Milena Stefanovic | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| 1528686375 | James Harrison Forde | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| 1730707571 | Preet Dhami | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| 1205454055 | Dominic Letray Brown | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| 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 |
|---|---|---|---|---|
| 1699380626 | John Whitham | Occupational Therapist | 721 Daly St, Philadelphia, PA 19148-3247 | 2020-09-15 |
| 1801407788 | Kathryn Martin | Occupational Therapist | 769 N 27th St, Philadelphia, PA 19130-2412 | 2020-08-13 |
| 1629687546 | Dawn Heiderscheidt | Occupational Therapist | 7421 Keiffer St, Philadelphia, PA 19128-1415 | 2020-07-27 |
| 1932721909 | Makenzie Holmsborg | Occupational Therapist | 886 N Judson St, Philadelphia, PA 19130-1937 | 2020-05-13 |
| 1407477953 | Welcome Home Wellness LLC | Occupational Therapist | 1923 Bainbridge St, Philadelphia, PA 19146-1430 | 2020-05-06 |
| 1972122836 | Melissa Turan | Occupational Therapist | 229 Manton St, Philadelphia, PA 19147-5317 | 2020-04-10 |
| 1528695293 | Shauna Batson | Occupational Therapist | 122 W Manheim St Apt 3, Philadelphia, PA 19144-3668 | 2020-03-24 |
| 1275169070 | Abby Streusand | Occupational Therapist | 4834 Cedar Ave, Philadelphia, PA 19143-2017 | 2020-03-12 |
| 1841820008 | Gia Griffin | Occupational Therapist | 14036 Faraday St, Philadelphia, PA 19116-1008 | 2020-01-16 |
| 1649810904 | Ashley Wasserman | Occupational Therapist | 162 Shurs Ln, Philadelphia, PA 19127-1723 | 2020-01-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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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.