AMY PELLERIN FEWELL (NPI# 1104470798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104470798 |
| Entity Type | Individual |
| Full Name | AMY PELLERIN FEWELL |
| Credential | LOTR |
| Practice Address |
619 N Main St Jennings LA 70546-5347 |
| Mailing Address |
2002 Johnson St Ste 100 Jennings LA 70546-3640 |
| Practice Telephone | 3378248287 |
| Mailing Telephone | 3378244547 |
| Mailing Fax Number | 3378244548 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTT.200549 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
619 N MAIN ST |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-5347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265082325 | Megan D Duncan | Occupational Therapy Assistant | 619 N Main St, Jennings, LA 70546-5347 | 2019-09-19 |
| 1487204715 | Jonathan C Reed | Physical Therapy Assistant | 619 N Main St, Jennings, LA 70546-5347 | 2019-09-18 |
| 1386294627 | Jennifer D Gremillion | Occupational Therapy Assistant | 619 N Main St, Jennings, LA 70546-5347 | 2019-09-18 |
| 1679123921 | Brittany F Stanford | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-09-18 |
| 1386299873 | Jeanne L Lebeouf | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-08-02 |
| 1801441308 | Crystal Dene Berzas | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-08-02 |
| 1578117008 | Rebecca G Montou | Occupational Therapy Assistant | 619 N Main St, Jennings, LA 70546-5347 | 2019-08-01 |
| 1447804182 | Leslie Wayne Middleton | Occupational Therapy Assistant | 619 N Main St, Jennings, LA 70546-5347 | 2019-07-31 |
| 1285288902 | Marlene M Shaver | Speech-Language Pathologist | 619 N Main St, Jennings, LA 70546-5347 | 2019-07-31 |
| 1437703154 | Casey L Leonards | Occupational Therapy Assistant | 619 N Main St, Jennings, LA 70546-5347 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| 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 |
|---|---|---|---|---|
| 1386150589 | Helen Renae Jabusch | Occupational Therapist | 1322 Elton Rd Ste I, Jennings, LA 70546-4100 | 2017-12-26 |
| 1578673521 | Kathleen Marie Dahm | Occupational Therapist | 8005 W Florissant Ave, Ste L, Jennings, MO 63136-1452 | 2006-08-30 |
| 1386296598 | Rebekah R Hall | Occupational Therapist | 1322 Elton Rd Ste I, Jennings, LA 70546-4100 | 2019-07-09 |
| 1467914218 | Kayla Bruce Manuel | Occupational Therapist | 619 N Main St, Jennings, LA 70546-5347 | 2019-04-02 |
| 1184071169 | Jamie Brugger | Occupational Therapist | 8005 W Florissant Ave, Ste L, Jennings, MO 63136-1452 | 2016-05-19 |
| 1558794065 | Jessie M Broussard | Occupational Therapist | 1322 Elton Rd, Suite I, Jennings, LA 70546-4100 | 2013-08-20 |
| 1306283163 | Brittany Bureau Talley | Occupational Therapist | 2002 Johnson St, Suite 100, Jennings, LA 70546-3640 | 2013-06-03 |
| 1538416524 | Mandy Dalton Persick | Occupational Therapist | 1322 Elton Rd, Suite I, Jennings, LA 70546-4100 | 2012-08-08 |
| 1255606935 | Victoria K Baudoin | Occupational Therapist | 2002 Johnson St, Suite 100, Jennings, LA 70546-3640 | 2012-03-14 |
| 1285909952 | Stephania Ann Taylor | Occupational Therapist | 2002 Johnson St, Suite 100, Jennings, LA 70546-3640 | 2012-03-14 |
| Find all providers in JENNINGS | ||||
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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.