MRS. ELLEN RAEBURN BRUCE (NPI# 1205045408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205045408 |
| Entity Type | Individual |
| Full Name | MRS. ELLEN RAEBURN BRUCE |
| Credential | M.S., OTR&L |
| Practice Address |
4012 Park Rd Suite 200 Charlotte NC 28209-2272 |
| Mailing Address |
310 Arlington Ave Loft #236 Charlotte NC 28203-4289 |
| Practice Telephone | 7043729653 |
| Practice Fax Number | 7043729653 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
6050 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770669004 | Ellen Gorden Bruce | Social Worker | 1308 Atwood Avenue, Johnston, RI 02919-4936 | 2006-10-30 |
| 1568435238 | Ellen K Bruce | Occupational Therapist | 2474 E Joyce Blvd, Suite 3, Fayetteville, AR 72703-4519 | 2006-02-10 |
| Street Address |
4012 PARK RD SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125085 | Child and Family Development | Speech-Language Pathologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2378 | 2006-02-24 |
| 1780182139 | Sarah Marie Hamilton | Occupational Therapist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2018-01-30 |
| 1902318728 | Kathleen Condon | Speech-Language Pathologist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2017-11-02 |
| 1457891335 | Cameron Blake Templeton | Physical Therapist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2017-02-27 |
| 1902356264 | Patricia S Dyer | Counselor | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2016-10-11 |
| 1093176349 | Ashley Costner Kies | Psychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2016-03-15 |
| 1063898732 | Logan D Carter | Speech-Language Pathologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2015-08-05 |
| 1477969434 | Aleksandra Liss | Psychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2014-07-10 |
| 1104255033 | Melissa Petcu | Occupational Therapist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2013-11-01 |
| 1669800991 | Meghan Davidson-palmer | Occupational Therapist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2013-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| 1124255567 | Ability First Pediatrics, LLC | Occupational Therapist | 4630 Fairvista Dr, Charlotte, NC 28269-1098 | 2009-06-11 |
| 1669678850 | Susan Carol Goerke | Occupational Therapist | 11906 Cheviott Hill Ln, Charlotte, NC 28213-3898 | 2007-06-25 |
| 1124234679 | Charlotte Pediatric Therapy Services, Inc. | Occupational Therapist | 7003 Wallace Rd, Suite 100, Charlotte, NC 28212-6881 | 2007-05-14 |
| 1770795379 | Susan Klemm Ms Otr L Professional Corporation | Occupational Therapist | 341 N Caswell Rd, Charlotte, NC 28204-2470 | 2007-05-04 |
| 1528280104 | Kimberly Nicole Patterson | Occupational Therapist | 427 N Wendover Rd, Charlotte, NC 28211-1064 | 2007-05-03 |
| 1043431257 | Melissa Marie Bradley | Occupational Therapist | 616 S Torrence St, Charlotte, NC 28204-3057 | 2007-05-02 |
| 1083733844 | Jill Shuter | Occupational Therapist | 2092 Ayrsley Town Blvd, Charlotte, NC 28273-4037 | 2007-03-29 |
| 1265556229 | Lesley Moss Pirko | Occupational Therapist | 3840 Bon Rea Dr, Charlotte, NC 28226-3150 | 2007-03-16 |
| 1316014608 | Lisa Ellen Cyzner | Occupational Therapist | 6401 Carmel Rd, Suite 101, Charlotte, NC 28226-8279 | 2006-11-29 |
| Find all providers in CHARLOTTE | ||||
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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.