KELLY LYNN CUNNINGHAM (NPI# 1104449610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104449610 |
| Entity Type | Individual |
| Full Name | KELLY LYNN CUNNINGHAM |
| Credential | COTA |
| Practice Address |
805 19th Ave Se Albany OR 97322-4225 |
| Mailing Address |
2173 Arroyo Ridge Dr Albany OR 97321-1076 |
| Practice Telephone | 5414014887 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 390246 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NONE APPLICABLE | 390246 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205498 | Kelly A Cunningham | Speech-Language Pathologist | 1451 Cypress Ave, Hanover Park, IL 60133-3705 | 2019-09-23 |
| 1912554932 | Kelly Cunningham | Physician Assistant | 1550 N Northwest Hwy Ste 220, Park Ridge, IL 60068-1459 | 2019-08-23 |
| 1114379914 | Kelly Louise Cunningham | Counselor | 626 Central Ave Apt 3, Pawtucket, RI 02861-1958 | 2016-07-06 |
| 1780730788 | Kelly E Cunningham | Social Worker | 20525 Detroit Rd, Suite 6, Rocky River, OH 44116-2444 | 2007-01-25 |
| 1710947536 | Kelly Beth Cunningham | Counselor | 1521 Concord Pike, Suite 103, Wilmington, DE 19803-3642 | 2006-03-24 |
| 1881693547 | Kelly Lynne Cunningham | Optometrist | 219 E Washington St, Martinsville, IN 46151-1554 | 2005-07-15 |
| 1659739522 | Kelly Ann Cunningham | Registered Nurse | 1000 Broad St, Central Falls, RI 02863-1507 | 2016-02-05 |
| 1528407442 | Kelly Adkins Cunningham | Nurse Anesthetist, Certified Registered | N2198 Unc Hospitals, Cb# 7010, Chapel Hill, NC 27599-7010 | 2013-06-25 |
| 1124279450 | Kelly Cunningham | Otolaryngology | 2160 S 1st Ave, Building 105 Room 1870, Maywood, IL 60153-3328 | 2008-10-06 |
| 1598963167 | Kelly Cunningham | Physical Therapy Assistant | 400 N 7th St, Marietta, OH 45750-2024 | 2007-07-05 |
| Street Address |
805 19TH AVE SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538106380 | Regency Albany, LLC | Nursing Facility/Intermediate Care Facility | 805 19th Ave Se, Albany, OR 97322-4225 | 2006-06-01 |
| 1629635248 | Kim Dimalanta | Physical Therapist | 805 19th Ave Se, Albany, OR 97322-4225 | 2019-05-20 |
| 1336594977 | Christa Irzinski | Speech-Language Pathologist | 805 19th Ave Se, Albany, OR 97322-4225 | 2016-05-02 |
| 1356723340 | Danielle Kristine Chartraw | Occupational Therapy Assistant | 805 19th Ave Se, Albany, OR 97322-4225 | 2015-06-25 |
| 1316342231 | Julie Bohlman | Physical Therapy Assistant | 805 19th Ave Se, Albany, OR 97322-4225 | 2014-11-04 |
| 1235342353 | Regency Albany LLC | Skilled Nursing Facility | 805 19th Ave Se, Albany, OR 97322-4225 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| 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 |
|---|---|---|---|---|
| 1801403282 | Kaitlyn Breese Swain | Occupational Therapy Assistant | 3713 Tarva Rd, Albany, GA 31721-8687 | 2020-09-29 |
| 1174158026 | Kathryn Nowosielski | Occupational Therapy Assistant | 462 Ontario St, Albany, NY 12208-2818 | 2020-03-10 |
| 1366093049 | Kay Leigh Oliver | Occupational Therapy Assistant | 441 Chism St, Albany, TX 76430-2704 | 2019-09-24 |
| 1629627104 | Maria Trupia | Occupational Therapy Assistant | 4 Woodlake Rd Apt 2, Albany, NY 12203-3960 | 2019-09-08 |
| 1538726633 | Daphyne Marie Ewings | Occupational Therapy Assistant | 4605 Gillionville Rd, Albany, GA 31721-9565 | 2019-05-23 |
| 1447722038 | Tabitha Edwards | Occupational Therapy Assistant | 1605 Oak St Se Apt A105, Albany, OR 97322-4702 | 2018-12-20 |
| 1750781415 | Jessica Spadola | Occupational Therapy Assistant | 136 Southern Blvd, Albany, NY 12209-2027 | 2014-09-01 |
| 1881008191 | Christina Marie Schmeltz | Occupational Therapy Assistant | 1301 Tamarack Ct Sw, Albany, OR 97321-3616 | 2014-06-13 |
| 1548683105 | Russell Duffy | Occupational Therapy Assistant | 39265 Groshong Rd Ne, Albany, OR 97321-9526 | 2014-01-31 |
| 1477982858 | Deborah Janelle Chanley | Occupational Therapy Assistant | 1861 21st Ave Se, Apt 115, Albany, OR 97322-5784 | 2013-11-05 |
| Find all providers in ALBANY | ||||
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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.