TINA KOLLER (NPI# 1144378472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144378472 |
| Entity Type | Individual |
| Full Name | TINA KOLLER |
| Practice Address |
2700 1st Ave S Fort Dodge IA 50501-4306 |
| Mailing Address |
2926 Brushy Creek Rd Lehigh IA 50557-7513 |
| Practice Telephone | 5159556922 |
| Practice Fax Number | 5159552463 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 01372 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2700 1ST AVE S |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392062 | James D Wolff Md PC | Orthopaedic Surgery | 2700 1st Ave S, Suite 100, Fort Dodge, IA 50501-4306 | 2006-05-15 |
| 1023514825 | Marie Joan Duclos | Occupational Therapist | 2700 1st Ave S, Fort Dodge, IA 50501-4300 | 2018-04-02 |
| 1053784272 | Ronald Lemond | Occupational Therapist | 2700 1st Ave S, Fort Dodge, IA 50501-4300 | 2015-11-10 |
| 1053643031 | Susejed Ann Mananquil | Physical Therapist | 2700 1st Ave S, Fort Dodge, IA 50501-4300 | 2010-02-02 |
| 1336262294 | Alma Suga Castaneda | Physical Therapist | 2700 1st Ave S, Suite 200, Fort Dodge, IA 50501-4306 | 2007-04-07 |
| 1578683033 | Emmanuel Jr. Dy-liacco Flores | Physical Therapist | 2700 1st Ave S, Suite 200, Fort Dodge, IA 50501-4306 | 2007-03-29 |
| 1790842896 | Benigno Manaloto Aquino | Physical Therapist | 2700 1st Ave S, Suite 200, Fort Dodge, IA 50501-4306 | 2007-01-02 |
| 1336202613 | Amanda Marie Williams | Specialist | 2700 1st Ave S, Suite 200, Fort Dodge, IA 50501-4306 | 2006-12-18 |
| 1659327872 | Samir R Wahby | Orthopaedic Surgery | 2700 1st Ave S, Suite 100, Fort Dodge, IA 50501-4306 | 2006-05-26 |
| 1215982012 | Matthew N Moritz | Physician Assistant | 2700 1st Ave S, Suite 100, Fort Dodge, IA 50501-4300 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| 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 |
|---|---|---|---|---|
| 1699189357 | Roxanna Jolene Ronconi | Occupational Therapist | 1715 River Forest Dr, Fort Dodge, IA 50501-7014 | 2014-06-20 |
| 1649512831 | Patrick Hancock | Occupational Therapist | 1414 N 11th St, Fort Dodge, IA 50501-7512 | 2013-03-26 |
| 1023514825 | Marie Joan Duclos | Occupational Therapist | 2700 1st Ave S, Fort Dodge, IA 50501-4300 | 2018-04-02 |
| 1699223685 | Anissa Mcgee | Occupational Therapist | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2016-09-19 |
| 1053784272 | Ronald Lemond | Occupational Therapist | 2700 1st Ave S, Fort Dodge, IA 50501-4300 | 2015-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316509 | Michail Peterson | Occupational Therapist | 2455 Sw State St, Ankeny, IA 50023-1277 | 2020-08-17 |
| 1891315628 | Jodie M Pettinger | Occupational Therapist | 7 Hillcrest Heights Ln, Mount Vernon, IA 52314-9611 | 2020-04-22 |
| 1598384877 | Danielle Wagner | Occupational Therapist | 745 Community Dr Unit H, North Liberty, IA 52317-6709 | 2020-04-15 |
| 1538788112 | Kristie Middendorf | Occupational Therapist | 6309 Michael Dr Ne, Cedar Rapids, IA 52411-7982 | 2020-04-13 |
| 1205476959 | Diane Meyer | Occupational Therapist | 230 Swan Lake Blvd, Suite 103, Independence, IA 50644 | 2020-01-10 |
| 1427697531 | Taylor Gutzman | Occupational Therapist | 5100 Prairie Pkwy # 300, Cedar Falls, IA 50613-8155 | 2020-01-06 |
| 1164069217 | Jonathan Patrick Bopes | Occupational Therapist | 500 Jefferson St Ste B, Pella, IA 50219-1255 | 2019-12-09 |
| 1952947129 | Heidi Jo Hoisington | Occupational Therapist | 1007 7th St Ne, Orange City, IA 51041-1190 | 2019-11-22 |
| 1578114161 | Angelica Kalee Soppe | Occupational Therapist | 87 Manor Dr, Eldridge, IA 52748-9721 | 2019-09-25 |
| 1861042178 | Taylor Physical Therapy Associates, LLC | Occupational Therapist | 121 Tower St, Denver, IA 50622 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
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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.