MRS. KELLI SUE HOLMGREN (NPI# 1053854299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053854299 |
| Entity Type | Individual |
| Full Name | MRS. KELLI SUE HOLMGREN |
| Credential | OTA |
| Practice Address |
1532 Shamrock Dr Davenport IA 52807-7602 |
| Practice Telephone | 5633403665 |
| Mailing Telephone | 5633403665 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 057.001964 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 00736 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1532 SHAMROCK DR |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| 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 |
|---|---|---|---|---|
| 1780173385 | Andrew Antle | Occupational Therapy Assistant | 1840 W 38th Pl, Davenport, IA 52806-5415 | 2018-05-09 |
| 1346615564 | Jeffery Sarmiento | Occupational Therapy Assistant | 404 Ethan Ave, Davenport, FL 33897-5420 | 2015-12-14 |
| 1053707232 | Cristina Herrera | Occupational Therapy Assistant | 255 Cello St, Davenport, FL 33896-8351 | 2015-04-14 |
| 1649693391 | Cassandra Chenoweth | Occupational Therapy Assistant | 6701 Jersey Ridge Rd, Davenport, IA 52807-3203 | 2014-01-31 |
| 1578800868 | Keri Lynne Norris-kuhn | Occupational Therapy Assistant | 2000 Victoria Park Dr, Apt #2102, Davenport, FL 33896-3181 | 2013-01-07 |
| 1730494774 | Michael Brooks Todd | Occupational Therapy Assistant | 325 Windsor Estates Dr, Davenport, FL 33837-9606 | 2010-08-14 |
| 1235301177 | Tracey Lynn Sparks | Occupational Therapy Assistant | 1701 Eagles Crest Ave, F-6, Davenport, IA 52804-5083 | 2008-04-01 |
| 1346461779 | Michelle Luanne Melver | Occupational Therapy Assistant | 15 Cedar Dr, Davenport, FL 33837-9784 | 2007-05-02 |
| 1063872687 | Sandra Jean Hall | Occupational Therapy Assistant | 700 Waverly Rd, Davenport, IA 52804-4317 | 2016-02-24 |
| 1407091234 | Erika Lynn Adamson | Occupational Therapy Assistant | 700 Waverly Rd, Davenport, IA 52804-4317 | 2008-12-08 |
| Find all providers in DAVENPORT | ||||
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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.