CONNIE SUE BROWN (NPI# 1174664122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174664122 |
| Entity Type | Individual |
| Full Name | CONNIE SUE BROWN |
| Credential | COTA L |
| Practice Address |
109 Cottage Dr Collinsville IL 62234-4416 |
| Practice Telephone | 6183458319 |
| Mailing Telephone | 6183458319 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821539008 | Connie Brown | Technician | 7715 Beechnut Rd, Capitol Heights, MD 20743-4729 | 2017-03-20 |
| 1407226327 | Connie Brown | Nurse Practitioner | 2504 Stephanie Dr, Little Rock, AR 72206-5418 | 2015-10-05 |
| 1578957635 | Connie Brown | Speech-Language Pathologist | 256 E Hamilton Ave Ste L, Campbell, CA 95008-0237 | 2015-03-26 |
| 1073525697 | Connie L Brown | Nurse Practitioner | 155 Ih-10 North, Ste: 1, Beaumont, TX 77707 | 2006-08-12 |
| 1861984643 | Connie Brown | Registered Nurse | 524 W Centre Ave, Portage, MI 49024-5306 | 2018-06-06 |
| 1265920318 | Connie Sue Brown | Physical Therapist | 1680 E Roseville Pkwy, Roseville, CA 95661-3988 | 2018-04-24 |
| 1619470598 | Connie Denise Brown | Case Manager/Care Coordinator | 707 E Greenwood St, Hope, AR 71801-9666 | 2018-03-16 |
| 1023316262 | Connie Smith Brown | Pharmacist | 125 S Park St, Carrollton, GA 30117-3241 | 2011-03-12 |
| 1588839187 | Connie L. Brown | Counselor | 914 N Canal St, Carlsbad, NM 88220-5110 | 2008-04-24 |
| Street Address |
109 COTTAGE DR |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| 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 |
|---|---|---|---|---|
| 1447685730 | Donna Bristol-goeben | Occupational Therapy Assistant | 62 Torrington Ave, Collinsville, CT 06019-3324 | 2013-09-05 |
| 1770113771 | Erika Dawn Rector | Occupational Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2020-01-19 |
| 1487136271 | Amy Sue Haverkamp | Occupational Therapy Assistant | 501 N Main St, Collinsville, TX 76233-5106 | 2018-08-29 |
| 1114263605 | Amy Lynn Thompson | Occupational Therapy Assistant | 201 W Clay St, Collinsville, IL 62234-3219 | 2013-01-02 |
| 1770828295 | Leslyn Ann Sutton | Occupational Therapy Assistant | 2300 W Broadway St, Collinsville, OK 74021-1625 | 2012-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940886 | Kathleen Pumo | Occupational Therapy Assistant | 300 W 22nd St, Lombard, IL 60148-5417 | 2020-10-26 |
| 1093314593 | Melissa Eileen Suermann | Occupational Therapy Assistant | 300 S Station Rd, Glen Carbon, IL 62034-2739 | 2020-10-26 |
| 1265049746 | Lauren Bryant | Occupational Therapy Assistant | 17042 Wausau Ave, South Holland, IL 60473-3352 | 2020-09-28 |
| 1992312631 | Agnieszka Wanda Bis | Occupational Therapy Assistant | 110 W Schaumburg Rd, Streamwood, IL 60107-1459 | 2020-09-27 |
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1326651894 | Laverne Reese | Occupational Therapy Assistant | 150 S Durkin Dr Apt, Springfield, IL 62704-1151 | 2020-08-25 |
| 1326650235 | Cheryl Annette Perrilles | Occupational Therapy Assistant | 5124 S Alaska Rd, Peoria, IL 61607-9541 | 2020-08-21 |
| 1003426487 | Allyx Underwood | Occupational Therapy Assistant | 111 S Homer St, Princeton, IL 61356-1850 | 2020-07-31 |
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1508483991 | Latika Kemp | Occupational Therapy Assistant | 7246 S. King Dr., Chicago, IL 60619-1726 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
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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.