MS. DAWNA MARIE HENDERSON (NPI# 1043795768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043795768 |
| Entity Type | Individual |
| Full Name | MS. DAWNA MARIE HENDERSON |
| Other Name | DAWNA GELB HENDERSON |
| Practice Address |
3111 Channing Way Idaho Falls ID 83404-7534 |
| Mailing Address |
957 Hoopes Ave Apt 204 Idaho Falls ID 83404-4709 |
| Practice Telephone | 2085290067 |
| Mailing Telephone | 3072208919 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1986 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3111 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851345417 | Peak Medical of Idaho, Inc. | Skilled Nursing Facility | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2006-05-19 |
| 1417578519 | Tailer Paige Fowler | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2020-04-29 |
| 1184265035 | Shelley Mccarthy Corrigan | Physical Therapist | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2019-10-02 |
| 1104380146 | Aaron Ashton May | Occupational Therapist | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2019-01-23 |
| 1144784349 | Jamie Lyn Seeley | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2019-01-22 |
| 1568932838 | Megan Barela | Occupational Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2018-11-29 |
| 1467948448 | Kara Kristin Von Burg | Speech-Language Pathologist | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2018-07-02 |
| 1538676234 | Shelby Ann Mason | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2018-01-03 |
| 1427572791 | Kassandra Noelle Stine | Physical Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2017-07-28 |
| 1457872202 | Eli Wallace Hanks | Occupational Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2017-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| 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 |
|---|---|---|---|---|
| 1154402220 | Glenda Kay Moe | Occupational Therapy Assistant | 510 E 17th S. 400, Idaho Falls, ID 83404 | 2006-10-17 |
| 1568932838 | Megan Barela | Occupational Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2018-11-29 |
| 1457872202 | Eli Wallace Hanks | Occupational Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2017-07-02 |
| 1437679362 | Erin Degroot | Occupational Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2017-06-21 |
| 1295193662 | Sherry Phone Tip Thengkham | Occupational Therapy Assistant | 3111 Channing Way, Idaho Falls, ID 83404-7534 | 2016-02-01 |
| 1891842878 | Mark Allen Eames | Occupational Therapy Assistant | 510 E 17th St, Suite 400, Idaho Falls, ID 83404-6154 | 2007-01-04 |
| 1760594931 | Annie Nicholson | Occupational Therapy Assistant | 510 E 17th St, Idaho Falls, ID 83404-6154 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784648 | Alyssa Mabey | Occupational Therapy Assistant | 659 Fairway Dr, Pocatello, ID 83201-2049 | 2020-09-15 |
| 1861028151 | Marissa Montamat | Occupational Therapy Assistant | 3550 W Americana Ter, Boise, ID 83706-4728 | 2020-03-18 |
| 1952802860 | Iris Marie Conrad | Occupational Therapy Assistant | 35 Dogwood Ln, Salmon, ID 83467-5083 | 2018-02-26 |
| 1992236988 | Katie Chase | Occupational Therapy Assistant | 1410 S Broadway Ave, Boise, ID 83706-3706 | 2017-03-22 |
| 1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
| 1245788959 | Susan Pahlas | Occupational Therapy Assistant | 489 Sw 7th Ave, Meridian, ID 83642-2809 | 2016-09-12 |
| 1679924435 | Chong Lucey | Occupational Therapy Assistant | 11892 W Clover Meadows Dr, Boise, ID 83713-6608 | 2016-06-23 |
| 1851761209 | Marissa Redding | Occupational Therapy Assistant | 8051b Eichenlaub Ct, Mountain Home Afb, ID 83648-1094 | 2015-09-29 |
| 1982085262 | Peaks To Plains Therapy Services, Pa | Occupational Therapy Assistant | 165 Front St, Driggs, ID 83422-5445 | 2015-06-12 |
| 1679964977 | Idris Jamal Shelby | Occupational Therapy Assistant | 2681 Sagebrush Dr, Twin Falls, ID 83301-7559 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.