MRS. JILLIAN M. KRUEGER (NPI# 1124377056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124377056 |
| Entity Type | Individual |
| Full Name | MRS. JILLIAN M. KRUEGER |
| Credential | COTA/L |
| Practice Address |
100 Joseph Walker Dr. West Columbia SC 29169 |
| Mailing Address |
Po Box 38 Miamiville OH 45147-0038 |
| Practice Telephone | 8033561303 |
| Mailing Telephone | 5135600045 |
| Mailing Fax Number | 5138311362 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 03957 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 3107 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 JOSEPH WALKER DR. |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| 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 |
|---|---|---|---|---|
| 1821241415 | Auontwannque B. R. Mccoy | Occupational Therapy Assistant | 3881-a Leaphart Rd., West Columbia, SC 29169 | 2008-10-28 |
| 1407488760 | Melissa Ann Stancil | Occupational Therapy Assistant | 2993 Sunset Blvd, West Columbia, SC 29169-3421 | 2020-02-05 |
| 1043755226 | Jessica Chine Flournoy | Occupational Therapy Assistant | 2993 Sunset Blvd, West Columbia, SC 29169-3421 | 2016-12-27 |
| 1568916591 | Shanya Fogle | Occupational Therapy Assistant | 2993 Sunset Blvd, West Columbia, SC 29169-3421 | 2016-08-08 |
| 1487032033 | Terrolyn Kissai | Occupational Therapy Assistant | 2993 Sunset Blvd, West Columbia, SC 29169-3421 | 2015-05-15 |
| 1821405051 | Le'keisha Harris | Occupational Therapy Assistant | 2993 Sunset Blvd, West Columbia, SC 29169-3421 | 2014-07-21 |
| 1245667641 | Katie Dawn Bailey | Occupational Therapy Assistant | 2993 Sunset Blvd, West Columbia, SC 29169-3421 | 2013-09-30 |
| 1093155715 | Kimberly B Caldwell | Occupational Therapy Assistant | 2993 Sunset Blvd, West Columbia, SC 29169-3421 | 2013-06-26 |
| 1477998128 | Jennifer Helfers Mcclure | Occupational Therapy Assistant | 2993 Sunset Blvd, West Columbia, SC 29169-3421 | 2013-05-08 |
| 1528312071 | Jennifer Sha Brooks | Occupational Therapy Assistant | 2993 Sunset Blvd, West Columbia, SC 29169-3421 | 2012-11-06 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.