MARY SHATTUCK (NPI# 1174667307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174667307 |
| Entity Type | Individual |
| Full Name | MARY SHATTUCK |
| Credential | COTA |
| Practice Address |
151 9th St Lincoln IL 62656-1501 |
| Practice Telephone | 2177355700 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
151 9TH ST |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| 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 |
|---|---|---|---|---|
| 1841758240 | Jessica Doreen Plummer | Occupational Therapy Assistant | 1450 Castle Manor Dr, Lincoln, IL 62656-6006 | 2019-03-05 |
| 1548635725 | Samantha Svoboda | Occupational Therapy Assistant | 5211 S 52nd St, Lincoln, NE 68516-1808 | 2015-12-14 |
| 1891178547 | Nathan Sutton | Occupational Therapy Assistant | 541 Fletcher Ave Apt 7, Lincoln, NE 68521-1374 | 2015-06-30 |
| 1114165859 | Sarah Kristine Huckell | Occupational Therapy Assistant | 1765 Surfside Dr # 7, Lincoln, NE 68528-1747 | 2009-02-03 |
| 1861656415 | Sandra Marie Griffin | Occupational Therapy Assistant | 6315 S 44th St, Lincoln, NE 68516-5522 | 2008-07-14 |
| 1487818142 | Julie Bruce | Occupational Therapy Assistant | 5512 Shady Creek Ct, Apt 24, Lincoln, NE 68516-1859 | 2008-07-11 |
| 1770614125 | Lincoln Elementary School District #27 | Occupational Therapy Assistant | 100 S Maple St, Lincoln, IL 62656-2677 | 2007-03-08 |
| 1548749617 | Kaylee Faye Chrisman | Occupational Therapy Assistant | 1001 South St, Lincoln, NE 68502-2251 | 2018-08-09 |
| 1447762208 | Douglas Michael Neville | Occupational Therapy Assistant | 8601 Firethorn Lane, Lincoln, NE 68520 | 2017-11-01 |
| 1386051878 | Kristen Rachael Closner | Occupational Therapy Assistant | 200 5th St, Lincoln, IL 62656-2619 | 2014-07-16 |
| Find all providers in LINCOLN | ||||
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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.