TIFFANY PELLERIN (NPI# 1083797625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083797625 |
| Entity Type | Individual |
| Full Name | TIFFANY PELLERIN |
| Credential | COTA |
| Practice Address |
248 State St Brewer ME 04412-1519 |
| Practice Telephone | 2079892034 |
| Practice Fax Number | 2079895971 |
| Mailing Telephone | 2079892034 |
| Mailing Fax Number | 2079895971 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OA1995 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
248 STATE ST |
| City | BREWER |
| State | ME |
| Zip Code | 04412-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568007029 | Nicole Rauckman | Physical Therapist | 248 State St, Brewer, ME 04412-1519 | 2019-11-08 |
| 1619358363 | Ellen Cihiwsky | Rehabilitation Counselor | 248 State St, Brewer, ME 04412 | 2015-06-17 |
| 1629409867 | Rww Outpatient Rehab Services, Inc. | Clinic/Center | 248 State St, Brewer, ME 04412-1519 | 2013-12-12 |
| 1679904536 | Rehab Without Walls, Inc. | Clinic/Center | 248 State St, Brewer, ME 04412-1519 | 2013-12-03 |
| 1750544045 | Karen Beale | Physical Therapist | 248 State St, Brewer, ME 04412-1519 | 2008-07-07 |
| 1952484552 | Corinne Johnston | Social Worker | 248 State St, Brewer, ME 04412-1519 | 2006-10-24 |
| 1457434052 | Laura Smith | Recreation Therapist | 248 State St, Brewer, ME 04412-1519 | 2006-10-24 |
| 1255414868 | Christopher Jordan | Recreation Therapist | 248 State St, Brewer, ME 04412-1519 | 2006-10-24 |
| 1588747190 | Anne Porter | Recreation Therapist | 248 State St, Brewer, ME 04412-1519 | 2006-10-24 |
| 1770666356 | Deeanne Fowlie | Registered Nurse | 248 State St, Brewer, ME 04412-1519 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| 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 |
|---|---|---|---|---|
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| 1841490885 | Judith Dolinar | Occupational Therapy Assistant | 6 West Rd, Brewer, ME 04412-1233 | 2007-07-18 |
| 1346601424 | Kaitlyn R. Weaver | Occupational Therapy Assistant | 248 State Street, Brewer, ME 04412 | 2016-03-16 |
| 1982991766 | Heath D Peare | Occupational Therapy Assistant | 74 Parkway S, Brewer, ME 04412-1628 | 2011-06-30 |
| 1316241979 | Kimberly Sumner | Occupational Therapy Assistant | 250 State St, Brewer, ME 04412-1519 | 2010-12-22 |
| 1285937573 | Angel Gaye Carey | Occupational Therapy Assistant | 204 Washington St, Brewer, ME 04412-1322 | 2010-12-08 |
| 1871750489 | Adam Duvall | Occupational Therapy Assistant | 74 Parkway S, Brewer, ME 04412-1628 | 2008-05-21 |
| 1548442775 | Samantha Rae Baker | Occupational Therapy Assistant | 248 State Street, Twin City Plaza, Brewer, ME 04412 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035968 | Jennifer Susan Crenshaw | Occupational Therapy Assistant | 48 Location Rd, Belgrade, ME 04917-4026 | 2019-07-17 |
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1285105494 | Elivia Spinella | Occupational Therapy Assistant | 180 Danforth St Apt 1, Portland, ME 04102-3837 | 2018-12-16 |
| 1346756822 | Kelley Sue Smith | Occupational Therapy Assistant | 24 Highland Ave, Newport, ME 04953-3229 | 2017-12-20 |
| 1639602485 | Taylor Lewis | Occupational Therapy Assistant | 12 Jacqueline Way Apt 240, Westbrook, ME 04092-4149 | 2017-04-08 |
| 1326579798 | Pamela Jean Yankowsky | Occupational Therapy Assistant | 821 E Pittston Rd, Pittston, ME 04345-5930 | 2017-03-27 |
| 1154866622 | Leanne Harrington | Occupational Therapy Assistant | 866 Kenduskeag Ave Apt 1, Bangor, ME 04401-2910 | 2016-12-19 |
| 1396289740 | Kathleen Foster | Occupational Therapy Assistant | 44 Deering Ave, Apt. 2, Portland, ME 04101-2292 | 2016-12-05 |
| 1770038234 | Devin Alvah Brann | Occupational Therapy Assistant | 28 Gilman Plz, Bangor, ME 04401-3561 | 2016-08-24 |
| 1871945774 | William Richard Chasteen Jr. | Occupational Therapy Assistant | 984 Sabattus St, Lewiston, ME 04240-3363 | 2016-07-05 |
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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.