SUSAN BLAKE (NPI# 1215387212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215387212 |
| Entity Type | Individual |
| Full Name | SUSAN BLAKE |
| Credential | OTR |
| Practice Address |
52 Missionary Rd Cromwell CT 06416-2170 |
| Practice Telephone | 8607543033 |
| Mailing Telephone | 8607543033 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 002595 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669694253 | Susan Elizabeth Blake | Dentist | Fluvanna Correctional Center, Route 250 East, Troy, VA 22974 | 2007-05-03 |
| 1720127855 | Susan D Blake | Counselor | 3650 Morris Farm Dr, 3b, Greensboro, NC 27409-8944 | 2007-02-05 |
| 1831295419 | Susan Rhodes Blake | Counselor | 4067 Broadway St, San Antonio, TX 78209-6313 | 2006-09-15 |
| 1447663737 | Susan Blake | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2014-06-04 |
| 1053479428 | Susan A Blake | Social Worker | 2020 Brown St, Anderson, IN 46016-4218 | 2006-12-05 |
| 1811963705 | Susan F Blake | Optometrist | 2216 Lincoln Way E, Massillon, OH 44646-7062 | 2006-02-28 |
| Street Address |
52 MISSIONARY RD |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689983314 | Covenant Home Services | Home Health | 52 Missionary Rd, Suite 212, Cromwell, CT 06416-2170 | 2010-09-29 |
| 1598227563 | Bryan Scott Rinaldi | Occupational Therapy Assistant | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2019-04-01 |
| 1831650050 | Eileen Torello | Occupational Therapy Assistant | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2019-03-29 |
| 1134680572 | Sarah Schortman | Speech-Language Pathologist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2019-03-28 |
| 1548759665 | Alyssa Fazzino | Speech-Language Pathologist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2018-05-03 |
| 1760915136 | Kristyn Boscarino | Physical Therapist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2017-04-04 |
| 1366993396 | Marie Savage | Physical Therapist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2016-10-14 |
| 1194175091 | Deanna Flagg | Occupational Therapist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881094100 | Kevin Vachhani | Occupational Therapist | 23 Willow Ct, Cromwell, CT 06416-1737 | 2014-08-25 |
| 1902022304 | Vanessa Edythe Russo | Occupational Therapist | 157 Salem Dr, Cromwell, CT 06416-1239 | 2007-04-17 |
| 1982223210 | Marykate Mundell | Occupational Therapist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-04-16 |
| 1174159578 | Sharon L D'orso | Occupational Therapist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2020-03-17 |
| 1487286621 | Leandra Hylton | Occupational Therapist | 181 Shunpike Rd, Cromwell, CT 06416-1143 | 2020-02-05 |
| 1891254298 | Jessica Larson | Occupational Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2019-03-15 |
| 1194175091 | Deanna Flagg | Occupational Therapist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2016-06-21 |
| 1659768752 | Janelle Pinunsky Duff | Occupational Therapist | 156 Berlin Rd, Cromwell, CT 06416-1019 | 2015-04-16 |
| 1275967606 | Erica Lyn Zapatka | Occupational Therapist | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2013-08-21 |
| 1659665479 | Lisa Dimeo | Occupational Therapist | 156 Berlin Rd, Cromwell, CT 06416-1019 | 2011-06-09 |
| Find all providers in CROMWELL | ||||
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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.