KERRI COSTELLO (NPI# 1154755718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154755718 |
| Entity Type | Individual |
| Full Name | KERRI COSTELLO |
| Credential | OTR/L |
| Practice Address |
4 Samoset Ave Mansfield MA 02048-2237 |
| Mailing Address |
156 Lovering Street Medway MA 02053 |
| Practice Telephone | 5082088438 |
| Mailing Telephone | 5085336181 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2016 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4 SAMOSET AVE |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972838290 | Justine Marie Callanan | Occupational Therapist | 4 Samoset Ave, Mansfield, MA 02048-2237 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| 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 |
|---|---|---|---|---|
| 1114558665 | Melissa Kay Hanson | Occupational Therapist | 2509 Harts Bluff Rd, Mansfield, LA 71052-6253 | 2020-02-03 |
| 1972965440 | Heidi Alexander | Occupational Therapist | 7408 Nocona Dr, Mansfield, TX 76063-4946 | 2016-03-24 |
| 1427435924 | Lauren Fournie | Occupational Therapist | 350 N State Highway 360 Apt 2308, Mansfield, TX 76063-9049 | 2015-05-04 |
| 1912390964 | Kristin Schaber | Occupational Therapist | 711 Wiles Rd, Mansfield, OH 44903-8643 | 2015-03-16 |
| 1992103410 | Heather Haring | Occupational Therapist | 1196 W Cook Rd, Mansfield, OH 44906-3516 | 2014-12-16 |
| 1336563923 | Debra Ann Ronk | Occupational Therapist | 515 Woodward Ave, Mansfield, OH 44903-2026 | 2014-02-18 |
| 1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
| 1457650889 | Vanessa Jordan | Occupational Therapist | 250 E Debbie Lane, Mansfield, TX 76063-3852 | 2011-03-24 |
| 1225333792 | Flenisia Ealy | Occupational Therapist | 1800 Rim Rock Trl, Mansfield, TX 76063-5366 | 2011-01-14 |
| 1760710883 | Tammy Jean Deviney | Occupational Therapist | 116 N Wisteria St, Mansfield, TX 76063 | 2009-12-01 |
| Find all providers in MANSFIELD | ||||
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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.