KILEY L HENDERSON (NPI# 1104108463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104108463 |
| Entity Type | Individual |
| Full Name | KILEY L HENDERSON |
| Other Name | KILEY GRAY HENDERSON |
| Credential | MS, OTR/L, CHT |
| Practice Address |
98 Bangor St Ste A Houlton ME 04730-1603 |
| Practice Telephone | 2075210200 |
| Practice Fax Number | 2075210210 |
| Mailing Telephone | 2075210200 |
| Mailing Fax Number | 2075210210 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT1426 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT1426 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505179 | Kiley Nicole Henderson | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-31 |
| Street Address |
98 BANGOR ST STE A |
| City | HOULTON |
| State | ME |
| Zip Code | 04730-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053343954 | Elissa Madore | Physical Therapist | 98 Bangor St Ste A, Houlton, ME 04730-1603 | 2006-07-07 |
| 1316580491 | Alexander Ricky Folsom | Physical Therapy Assistant | 98 Bangor St Ste A, Houlton, ME 04730-1603 | 2019-10-22 |
| 1619533403 | Amanda Nicole Saucier | Physical Therapist | 98 Bangor St Ste A, Houlton, ME 04730-1603 | 2019-05-16 |
| 1083913685 | Amie J Belyea | Physical Therapist | 98 Bangor St Ste A, Houlton, ME 04730 | 2011-03-22 |
| 1598780330 | Peter John Madore | Physical Therapist | 98 Bangor St Ste A, Houlton, ME 04730-1603 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1518267715 | Jill Forest | Case Manager/Care Coordinator | 147 Hodgdon Mills Road, Hodgdon, ME 04730 | 2010-10-22 |
| 1689989097 | Miriam Carter | Speech-Language Pathologist | 65 South St., Rsu #29, Houlton, ME 04730 | 2010-08-10 |
| 1821296708 | Carl Malcolm Tingley | Physical Therapy Assistant | 342 Mcsheffery Road, Houlton, ME 04730 | 2007-07-03 |
| 1386847804 | Jennifer Ann Gooley | Physical Therapy Assistant | 94 Militay St., Madigan Estates, Holton, ME 04730 | 2007-06-11 |
| 1386783173 | Bruce Merrill Harvey | Chiropractor | 22 B Road, Houlton, ME 04730 | 2007-02-06 |
| 1225124050 | Houlton Band of Maliseet Indians | Clinic/Center | 12 Clover Circle, Houlton, ME 04730 | 2006-10-05 |
| 1205929171 | Donald P Woods | Dentist | 88 Mcsheffery Rd, Houlton, ME 04730 | 2006-10-02 |
| 1578665485 | Donald G Brushett | Family Medicine | 59 Bangor Street, Katahdin Valley Health Center, Houlton, ME 04730 | 2006-09-01 |
| 1518463470 | A New Start LLC | Social Worker | 22 North Street, Houiton, ME 04730 | 2018-03-31 |
| Find all providers in zip 04730 | ||||
| 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 |
|---|---|---|---|---|
| 1083211270 | Amy Witmer | Occupational Therapist | 20 Hartford St, Houlton, ME 04730-1859 | 2020-10-01 |
| 1881108298 | Amy Odonnell | Occupational Therapist | 20 Hartford St, Houlton, ME 04730-1891 | 2017-11-21 |
| 1588937650 | Nancy R Mooers | Occupational Therapist | 20 Hartford St, Houlton, ME 04730-1891 | 2012-02-20 |
| 1184932717 | Annette Boutilier | Occupational Therapist | 93 Military St, Houlton, ME 04730-2421 | 2010-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767272 | Kelsey M Connors | Occupational Therapist | 11 Carriage Hill Rd Apt F, Eliot, ME 03903-2163 | 2020-10-14 |
| 1861090813 | Angela Tirabassi | Occupational Therapist | 289 Sligo Rd Apt 3, Yarmouth, ME 04096-8394 | 2020-10-13 |
| 1427665694 | Patricia Jane Clark | Occupational Therapist | Patricia Clark, 408 Center Bridge Road, Turner, ME 04282 | 2020-09-30 |
| 1538774013 | Taylor Eells | Occupational Therapist | 984 Sabattus St Unit 4, Lewiston, ME 04240-3363 | 2020-09-11 |
| 1124632674 | Samantha M Mack | Occupational Therapist | 24 Hillcrest Cir, Portland, ME 04103-1443 | 2020-09-02 |
| 1366068892 | Katherine Uschmann | Occupational Therapist | 33 Leighton Rd, Yarmouth, ME 04096-7712 | 2020-06-20 |
| 1104441633 | Amanda R Petry | Occupational Therapist | 14 Oak St Apt 2, Brunswick, ME 04011-1980 | 2020-06-10 |
| 1124648555 | Salena Sykes | Occupational Therapist | 47 Garrison St Apt A, Brunswick, ME 04011-3106 | 2020-04-27 |
| 1033739545 | Jacobs Ladder Occupational Therapy | Occupational Therapist | 526 Hampden Rd, Carmel, ME 04419-3523 | 2020-04-24 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
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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.