KATHRYN ANN WAGGONER


Address: 1024 N Bond St, Springfield, IL 62702-3729
Phone: 2174143370

KATHRYN ANN WAGGONER (NPI# 1215491303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215491303
Entity Type Individual
Full Name KATHRYN ANN WAGGONER
Practice Address 1024 N Bond St
Springfield
IL 62702-3729
Mailing Address 1024 N Bond Street
Springfield
IL 62702-3729
Practice Telephone 2174143370
Mailing Telephone 2174143370
Enumeration Date 2019-01-23
Last Update Date 2019-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 057004227 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KATHRYN WAGGONER

NPI Name Taxonomy Address Enumeration
1316188121 Kathryn Kim Waggoner Psychologist 2112 Bienville Blvd Ste K, Ocean Springs, MS 39564-3067 2009-03-09
1881704195 Kathryn Gibson Waggoner Pediatrics 125 Medical Park Ln, Suite H, Murphy, NC 28906-6920 2006-08-30

Office Location

Street Address 1024 N BOND ST
City SPRINGFIELD
State IL
Zip Code 62702-3729

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326651894 Laverne Reese Occupational Therapy Assistant 150 S Durkin Dr Apt, Springfield, IL 62704-1151 2020-08-25
1942838180 Jennifer Cooper Occupational Therapy Assistant 228 Stutely Ln, Springfield, IL 62704-5234 2020-04-01
1225670441 Britt D Leonard Occupational Therapy Assistant 3130 Chatham Rd, Springfield, IL 62704-5369 2019-10-09
1871148965 Austin Chhut Occupational Therapy Assistant Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 2019-08-06
1033670401 Daniel E Cartwright Occupational Therapy Assistant 2272 E Keys Ave, Springfield, IL 62702-4343 2019-03-28
1386114635 Kristina Marie Williams Occupational Therapy Assistant 120 Omega Ave, Springfield, OH 45504-3647 2018-11-29
1881164143 Marlee Ann Mcneil Occupational Therapy Assistant 5920 Ridgewood Rd W, Springfield, OH 45502-8302 2018-11-29
1083154868 Alexandria Mattingly Occupational Therapy Assistant 136 Croake Station Rd, Springfield, KY 40069-7335 2017-02-28
1174079396 Amie Flanagan Occupational Therapy Assistant 3152 Valentine Court, Springfield, OR 97477 2016-08-28
1740665280 Paulette Thomas Occupational Therapy Assistant 722 Patrick Road, Springfield, OH 45503 2015-07-27
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Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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