KELLY SHAVONNE JOHNSON-MEANS (NPI# 1083214019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083214019 |
| Entity Type | Individual |
| Full Name | KELLY SHAVONNE JOHNSON-MEANS |
| Credential | OTR/L |
| Practice Address |
715 N Sawyer Ave Chicago IL 60624-1532 |
| Practice Telephone | 7737426581 |
| Mailing Telephone | 7737426581 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.013862 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
715 N SAWYER AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| 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 |
|---|---|---|---|---|
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1033728480 | Emily Mock | Occupational Therapist | 2739 N Mildred Ave Apt 3, Chicago, IL 60614-1459 | 2020-07-30 |
| 1699390781 | Katrina Morrissey | Occupational Therapist | 1722 N Newcastle Ave, Chicago, IL 60707-4422 | 2020-06-15 |
| 1225651623 | Amber Shannon-adams | Occupational Therapist | 7704 S Seeley Ave, Chicago, IL 60620-5747 | 2020-05-20 |
| 1558984989 | Timothy Hunt | Occupational Therapist | 2950 N Allen Ave Apt 2, Chicago, IL 60618-6702 | 2020-05-20 |
| 1881217461 | Demi Moses | Occupational Therapist | 3049 W Harrison St, Chicago, IL 60612-3342 | 2020-05-18 |
| 1144842683 | Mary Bares | Occupational Therapist | 6800 N Ozark Ave, Chicago, IL 60631-1277 | 2020-05-07 |
| 1689293920 | Rose D Duffy | Occupational Therapist | 1740 W Taylor St # C100, Chicago, IL 60612-7232 | 2020-04-15 |
| 1730708546 | Jasmine Darlene Murphy | Occupational Therapist | 12322 S Wallace St, Chicago, IL 60628-6420 | 2020-04-11 |
| 1841829629 | Nivea Lathan | Occupational Therapist | 1049 W 92nd Pl, Chicago, IL 60620-3628 | 2020-04-03 |
| Find all providers in CHICAGO | ||||
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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.