SHELLY O'DELL (NPI# 1205350196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205350196 |
| Entity Type | Individual |
| Full Name | SHELLY O'DELL |
| Credential | COTA/L |
| Practice Address |
1 Peachtree Dr Savannah GA 31419 |
| Mailing Address |
1 Peachtree Dr Savannah GA 31419-1200 |
| Practice Telephone | 7405044278 |
| Mailing Telephone | 7405044278 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA002266 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | OTA02038 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ALL PROVIDERS | 224ZOOOOOX | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 440 Marshview Dr, Richmond Hill, GA 313246208 | 7405044278 | |
| 649 Hillgail Cir Sw, Pataskala, OH 430628537 | 7405044278 |
| Street Address |
1 PEACHTREE DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790861847 | Kathryn Marie Clark | Physical Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2006-10-31 |
| 1508480799 | Danette Renee Kerr | Physical Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2020-06-03 |
| 1083102230 | Judith Pasley Loomis | Occupational Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2018-04-24 |
| 1609306182 | Wiloise Harper | Physical Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2017-06-15 |
| 1134653678 | Leiba Kahan | Physical Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2017-04-11 |
| 1194264283 | Ladonna Nash | Occupational Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2017-02-22 |
| 1629510771 | Sarah Dagley-clarke | Physical Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2016-11-07 |
| 1952764938 | Karen Lea Ashley | Occupational Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2016-03-29 |
| 1689032567 | Jessica Littlejohn Lee | Physical Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2016-02-05 |
| 1790140028 | Kimberly Rogers | Physical Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2015-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| 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 |
|---|---|---|---|---|
| 1619415841 | Encore Preakness, Inc. | Occupational Therapy Assistant | 7 E Congress St, Suite 404, Savannah, GA 31401-3337 | 2017-02-08 |
| 1487254538 | Mary Rose Planchon | Occupational Therapy Assistant | 2040 Colonial Dr, Savannah, GA 31406-2296 | 2020-10-28 |
| 1003478702 | Autumn Ballard | Occupational Therapy Assistant | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-07-02 |
| 1194298778 | Nicole Hill | Occupational Therapy Assistant | 935 Wayne Rd, Savannah, TN 38372-1904 | 2019-01-07 |
| 1194264283 | Ladonna Nash | Occupational Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2017-02-22 |
| 1518332873 | Courtney M Stephenson | Occupational Therapy Assistant | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2015-12-11 |
| 1306282512 | Kimberly Lashae Vickery | Occupational Therapy Assistant | 1645 Florence Rd, Savannah, TN 38372-5210 | 2013-05-14 |
| 1467608281 | Erika Nicole Snow | Occupational Therapy Assistant | 815 E 63rd St, Savannah, GA 31405-4420 | 2008-08-12 |
| 1124105903 | Sherry Lynn Woodard | Occupational Therapy Assistant | 1645 Florence Rd, Savannah, TN 38372-5210 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403282 | Kaitlyn Breese Swain | Occupational Therapy Assistant | 3713 Tarva Rd, Albany, GA 31721-8687 | 2020-09-29 |
| 1306451414 | Yvonne G Forbes | Occupational Therapy Assistant | 3412 Conley Downs Dr, Powder Springs, GA 30127-1199 | 2020-09-15 |
| 1396356614 | Chukwuma Jordan Okafor | Occupational Therapy Assistant | 3201 Windcliff Dr Se, Marietta, GA 30067-3814 | 2020-08-11 |
| 1861018913 | Lavina Michelle Andrews | Occupational Therapy Assistant | 288 Osceola Trl N, Jesup, GA 31545-4853 | 2020-06-24 |
| 1386285153 | Rww Outpatient Rehab Services, LLC | Occupational Therapy Assistant | 1860 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5065 | 2019-10-03 |
| 1356998769 | Jaclyn Renee Mason | Occupational Therapy Assistant | 609 Lake Vista Dr, Jefferson, GA 30549-4606 | 2019-08-20 |
| 1326692658 | Jacqueline Renee Rhem | Occupational Therapy Assistant | 1012 Enota Ave Ne, Gainesville, GA 30501-1802 | 2019-07-25 |
| 1437719713 | Tommy Tanner | Occupational Therapy Assistant | 3018 Spicewood Dr, Augusta, GA 30909-6489 | 2019-06-18 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1508424458 | Misty Myrick Copeland | Occupational Therapy Assistant | 318 Keen Rd, Summerville, GA 30747-6379 | 2019-06-04 |
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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.