CHARLENE DENISE ELLISON (NPI# 1174089072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174089072 |
| Entity Type | Individual |
| Full Name | CHARLENE DENISE ELLISON |
| Practice Address |
14200 Laurel Park Dr Laurel MD 20707-5201 |
| Practice Telephone | 4107924717 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14200 LAUREL PARK DR |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407977085 | Ssc Laurel Operating Company LLC | Skilled Nursing Facility | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2007-04-02 |
| 1720544711 | Michelle Sarah Swanson | Speech-Language Pathologist | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2019-02-14 |
| 1598221806 | Jean Gasana | Physical Therapy Assistant | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2019-02-12 |
| 1043775901 | Maria Laura Soto | Physical Therapist | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2019-02-05 |
| 1578046850 | Jennifer Ann Herlihy | Speech-Language Pathologist | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2018-09-12 |
| 1598264509 | Yetunde Adepetu | Nurse Practitioner | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2018-02-05 |
| 1659781839 | Sara Bouland | Occupational Therapist | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2014-04-28 |
| 1841610177 | Ara Storlie | Speech-Language Pathologist | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2014-04-25 |
| 1649579590 | Comfort C Okafor | Physical Therapist | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2011-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| 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 |
|---|---|---|---|---|
| 1285174110 | Douglas Fischer | Occupational Therapy Assistant | 10981 Johns Hopkins Rd Ste 210, Laurel, MD 20723-6002 | 2017-02-25 |
| 1396121216 | Haroon Alam | Occupational Therapy Assistant | 7303 Caledon Ct, Laurel, MD 20707-6904 | 2015-08-03 |
| 1669683389 | Gail Hilseberg Deitsch | Occupational Therapy Assistant | 14502 Greenview Drive, Suite 406, Laurel, MD 20708 | 2007-05-24 |
| 1861519324 | Bonnie L. Mcdaniel | Occupational Therapy Assistant | 165 Delaware Ave, Laurel, DE 19956-1181 | 2007-03-22 |
| 1801429675 | Michelle Suzanne Boydston-mulholland | Occupational Therapy Assistant | 820 3rd Ave, Laurel, MT 59044-2023 | 2020-02-19 |
| 1437615622 | Courtney King | Occupational Therapy Assistant | 820 3rd Ave, Laurel, MT 59044-2023 | 2019-02-13 |
| 1467916312 | Jysseka Purdue | Occupational Therapy Assistant | 14409 Greenview Dr Ste 102, Laurel, MD 20708-4213 | 2019-01-24 |
| 1831624840 | Teresa Dibattista | Occupational Therapy Assistant | 14409 Greenview Dr, Ste 102, Laurel, MD 20708-3293 | 2017-04-27 |
| 1255682126 | Judith Christie Marrah | Occupational Therapy Assistant | 14409 Greenview Dr, Ste 102, Laurel, MD 20708-3293 | 2012-10-02 |
| 1891016127 | Mary Katherine Cook | Occupational Therapy Assistant | 14409 Greenview Dr, Ste 102, Laurel, MD 20708-3293 | 2010-06-22 |
| Find all providers in LAUREL | ||||
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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.