HEATHER ELIZABETH CONKLIN (NPI# 1093369290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093369290 |
| Entity Type | Individual |
| Full Name | HEATHER ELIZABETH CONKLIN |
| Credential | COTA/L |
| Practice Address |
15 Cypress Branch Way Ste 207d Palm Coast FL 32164-8414 |
| Mailing Address |
1 Blakemore Dr Palm Coast FL 32137-7336 |
| Practice Telephone | 3865855955 |
| Practice Fax Number | 3865857017 |
| Mailing Telephone | 7724851056 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 17363 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992942304 | Heather Conklin | Occupational Therapy Assistant | 7237 Blue Juniper Ct, Fuquay Varina, NC 27526-5469 | 2009-01-07 |
| 1386840205 | Heather Lynette Conklin | Marriage & Family Therapist | 1669 West Avenue J, Suite 202, Lancaster, CA 93534 | 2007-06-26 |
| 1295867158 | Heather Renee Conklin | Nurse Practitioner | 1295 E 151st St Ste 7, Olathe, KS 66062-3429 | 2007-03-09 |
| 1679025266 | Heather Conklin | Pharmacist | 8095 N University Dr, Parkland, FL 33067-2602 | 2016-10-28 |
| 1013051473 | Heather Marie Conklin | Clinical Neuropsychologist | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-02-19 |
| Street Address |
15 CYPRESS BRANCH WAY STE 207D |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-8414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871679233 | Jennifer Michelle Baker | Occupational Therapist | 15 Cypress Branch Way Ste 207d, Palm Coast, FL 32164-8414 | 2006-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| 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 |
|---|---|---|---|---|
| 1164020095 | Lisa M Harrison | Occupational Therapy Assistant | 83 Pepperdine Dr, Palm Coast, FL 32164-7498 | 2020-10-13 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1194293183 | Michael Perez Sr. | Occupational Therapy Assistant | 7 Price Ln, Palm Coast, FL 32164-7418 | 2018-11-07 |
| 1912492588 | Mindra Ashley Perez | Occupational Therapy Assistant | 56 Post View Dr, Palm Coast, FL 32164-4948 | 2018-06-26 |
| 1124573613 | Amanda Anderson | Occupational Therapy Assistant | 26 Rykill Way, Palm Coast, FL 32164-3403 | 2016-08-24 |
| 1538518022 | Bryana Picciarelli | Occupational Therapy Assistant | 58 Cooper Ln, Palm Coast, FL 32137-8186 | 2016-06-06 |
| 1710354618 | Awarish Khawaja | Occupational Therapy Assistant | 210 Pritchard Dr, Palm Coast, FL 32164-7103 | 2015-08-26 |
| 1326429291 | Megan Dempsey | Occupational Therapy Assistant | 4 Sea Star Ct, Palm Coast, FL 32164-3532 | 2015-06-16 |
| 1467831313 | Kristine Frances Rodriguez | Occupational Therapy Assistant | 16 Fernmill Ln, Palm Coast, FL 32137-9104 | 2015-05-26 |
| 1407253834 | Colleen Brooks | Occupational Therapy Assistant | 83 Coral Reef Ct N, Palm Coast, FL 32137-8377 | 2014-12-01 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32164 |
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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.