KRISTINE LOUISE MADURA (NPI# 1124669148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124669148 |
| Entity Type | Individual |
| Full Name | KRISTINE LOUISE MADURA |
| Credential | COTA |
| Practice Address |
4239 N Oak Park Ave Chicago IL 60634-1410 |
| Mailing Address |
2415 New York Ave Whiting IN 46394-2145 |
| Practice Telephone | 2196148206 |
| Mailing Telephone | 2196148206 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057003716 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | 298567 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4239 N OAK PARK AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134451792 | Terrance John Benovsky | Occupational Therapist | 4239 N Oak Park Ave, Chicago, IL 60634-1410 | 2010-02-08 |
| 1740604891 | Genesis Healthcare | Clinic/Center | 4239 N Oak Park Ave, Chicago, IL 60634-1410 | 2014-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| 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 |
|---|---|---|---|---|
| 1508483991 | Latika Kemp | Occupational Therapy Assistant | 7246 S. King Dr., Chicago, IL 60619-1726 | 2020-07-01 |
| 1922629088 | Lizhira Orellana Cebrero | Occupational Therapy Assistant | 2232 N Kostner Ave Apt 1, Chicago, IL 60639-3532 | 2020-04-29 |
| 1811526890 | Miguel Angel Reyes | Occupational Therapy Assistant | 3917 W 69th St, Chicago, IL 60629-4225 | 2020-04-02 |
| 1881229318 | Shayna Alyssa Houston | Occupational Therapy Assistant | 9210 S Racine Ave, Chicago, IL 60620-3616 | 2020-03-05 |
| 1821622648 | Donna J Shaw | Occupational Therapy Assistant | 2 W Delaware Pl Unit 1305, Chicago, IL 60610-3409 | 2020-03-02 |
| 1902439276 | Arianna P Rosas | Occupational Therapy Assistant | 4908 W Oakdale Ave, Chicago, IL 60641-5122 | 2020-02-14 |
| 1245879782 | Lourdes S Dones | Occupational Therapy Assistant | 1473 W Gregory St Apt 1, Chicago, IL 60640-1218 | 2020-01-01 |
| 1629613252 | Paula Jean Forney | Occupational Therapy Assistant | 3857 N Christiana Ave Unit G, Chicago, IL 60618-4417 | 2019-11-07 |
| 1326693110 | Sonata Bailey | Occupational Therapy Assistant | 8627 S Normal Ave, Chicago, IL 60620-2154 | 2019-08-07 |
| 1821643180 | Iris G Barrientos | Occupational Therapy Assistant | 1756 W Rosehill Dr Apt 1e, Chicago, IL 60660-3933 | 2019-08-05 |
| Find all providers in CHICAGO | ||||
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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.