KAREN LEE PETTY (NPI# 1154873248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154873248 |
| Entity Type | Individual |
| Full Name | KAREN LEE PETTY |
| Practice Address |
1220 Montana St 101 Gooding ID 83330-1856 |
| Mailing Address |
4141 W Nez Perce St Apt 324 Boise ID 83705-2959 |
| Practice Telephone | 2089345601 |
| Mailing Telephone | 2089194861 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA-1626 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407380850 | Karen Petty | Psychologist | 6628 Beacon Rd, Las Vegas, NV 89108-5390 | 2017-04-12 |
| 1881932077 | Karen Sue Petty | Home Health Aide | 4750 Ouray Ct, Liberty Twp, OH 45011-7403 | 2013-01-22 |
| 1164509402 | Karen Y Petty | Dentist | 310 W. Millbrook Road, Suite 100, Raleigh, NC 27609-4675 | 2006-11-01 |
| 1790884708 | Karen Petty | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-09-22 |
| Street Address |
1220 MONTANA ST 101 |
| City | GOODING |
| State | ID |
| Zip Code | 83330-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023096757 | Gooding Rehab and Living Center | Intermediate Care Facility, Mental Illness | 1220 Montana St, Gooding, ID 83330-1856 | 2006-01-03 |
| 1306322953 | Bennett Healthcare, Inc. | Skilled Nursing Facility | 1220 Montana St, Gooding, ID 83330-1856 | 2018-07-17 |
| 1811407174 | Kacey Rindlisbacher | Physical Therapy Assistant | 1220 Montana St, Gooding, ID 83330-1856 | 2017-10-01 |
| 1619325933 | Heather Manning | Occupational Therapy Assistant | 1220 Montana St, Gooding, ID 83330-1856 | 2016-05-26 |
| 1225373939 | Lisa D Boggs | Occupational Therapist | 1220 Montana St, Gooding, ID 83330-1856 | 2012-12-06 |
| 1609110048 | Judith Marie Walburn | Physical Therapy Assistant | 1220 Montana St, Gooding, ID 83330-1856 | 2012-11-26 |
| 1831329499 | John Edgar Cochran | Speech-Language Pathologist | 1220 Montana St, Gooding, ID 83330-1856 | 2009-07-16 |
| 1720217128 | Charolais Care Vii Inc | Skilled Nursing Facility | 1220 Montana St, Gooding, ID 83330-1856 | 2009-07-07 |
| 1720258668 | Helping Hands Sanctuary of Idaho, Inc | Skilled Nursing Facility | 1220 Montana St, Gooding, ID 83330-1856 | 2008-03-06 |
| 1376728345 | Carefix Management and Consulting, Inc. | Skilled Nursing Facility | 1220 Montana St, Gooding, ID 83330-1856 | 2008-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346648227 | Erin Orloff | Speech-Language Pathologist | 202 14th St Ave E, Gooding, ID 83330 | 2014-12-09 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1083959332 | Lydia Jo Missal | Counselor | 1832 E. 1750 S., Gooding, ID 83330 | 2012-11-27 |
| 1013240910 | Marcella Louise Heil | Speech-Language Pathologist | 1735 South 1800 East, Gooding, ID 83330 | 2009-09-09 |
| 1861561094 | Thomas Ernest Pryor | Family Medicine | 121 5th Ave West, Gooding, ID 83330 | 2006-11-06 |
| 1942212600 | Marcy Lin Morrow | Physician Assistant | 134 4th Ave W, Gooding Family Physicians, Gooding, ID 83330 | 2006-08-12 |
| 1174535835 | Ian B Kunz | Physician Assistant | 267 N Canyon Drive, Gooding, ID 83330 | 2006-08-12 |
| 1326002650 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
| 1497719728 | Mark D Spencer | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-13 |
| 1871115717 | Megan George | Counselor | 1832 E 1750 S, Gooding, ID 83330 | 2020-05-14 |
| Find all providers in zip 83330 | ||||
| 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 |
|---|---|---|---|---|
| 1619325933 | Heather Manning | Occupational Therapy Assistant | 1220 Montana St, Gooding, ID 83330-1856 | 2016-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784648 | Alyssa Mabey | Occupational Therapy Assistant | 659 Fairway Dr, Pocatello, ID 83201-2049 | 2020-09-15 |
| 1861028151 | Marissa Montamat | Occupational Therapy Assistant | 3550 W Americana Ter, Boise, ID 83706-4728 | 2020-03-18 |
| 1952802860 | Iris Marie Conrad | Occupational Therapy Assistant | 35 Dogwood Ln, Salmon, ID 83467-5083 | 2018-02-26 |
| 1992236988 | Katie Chase | Occupational Therapy Assistant | 1410 S Broadway Ave, Boise, ID 83706-3706 | 2017-03-22 |
| 1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
| 1245788959 | Susan Pahlas | Occupational Therapy Assistant | 489 Sw 7th Ave, Meridian, ID 83642-2809 | 2016-09-12 |
| 1679924435 | Chong Lucey | Occupational Therapy Assistant | 11892 W Clover Meadows Dr, Boise, ID 83713-6608 | 2016-06-23 |
| 1851761209 | Marissa Redding | Occupational Therapy Assistant | 8051b Eichenlaub Ct, Mountain Home Afb, ID 83648-1094 | 2015-09-29 |
| 1982085262 | Peaks To Plains Therapy Services, Pa | Occupational Therapy Assistant | 165 Front St, Driggs, ID 83422-5445 | 2015-06-12 |
| 1679964977 | Idris Jamal Shelby | Occupational Therapy Assistant | 2681 Sagebrush Dr, Twin Falls, ID 83301-7559 | 2015-02-09 |
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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.