KACIE NICOLE WENTWORTH (NPI# 1235775123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235775123 |
| Entity Type | Individual |
| Full Name | KACIE NICOLE WENTWORTH |
| Credential | OTR/L |
| Practice Address |
50 Leroy St Potsdam NY 13676-1786 |
| Mailing Address |
472 Judson Street Rd Canton NY 13617-3947 |
| Practice Telephone | 3152615959 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 022278 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS | 022278 | 01 |
| Street Address |
50 LEROY ST |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761801 | Amit J Shanker | Internal Medicine | 50 Leroy St, Potsdam, NY 13676-1786 | 2005-06-22 |
| 1154937431 | Felicity Lynn Love | Occupational Therapist | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-09-22 |
| 1265041073 | Zachary Randall Willis | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-07-28 |
| 1780293993 | Gary Thomas Sniffen | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-07-24 |
| 1437776176 | Megan Mae O'brien | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-06-29 |
| 1033748355 | Kelsey Miller | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2020-04-07 |
| 1548800196 | Alexandria Fons | Dietitian, Registered | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-01-12 |
| 1326682204 | Megan Lyn Boyea | Speech-Language Pathologist | 50 Leroy St, Potsdam, NY 13676-1786 | 2019-11-04 |
| 1912569955 | Stephanie F Rogers | Hospitalist | 50 Leroy St, Potsdam, NY 13676-1799 | 2019-06-30 |
| 1326608704 | Mary Riley | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1786 | 2019-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| 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 |
|---|---|---|---|---|
| 1154937431 | Felicity Lynn Love | Occupational Therapist | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-09-22 |
| 1134332489 | Jessica Marie Murray | Occupational Therapist | 29 Leroy St, Potsdam, NY 13676-1787 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952368 | Dimitry Gomberg | Occupational Therapist | 320 W 31st St, New York, NY 10001-2705 | 2020-11-06 |
| 1689275737 | Emily Christine Olander | Occupational Therapist | 9 Beech Dr, Painted Post, NY 14870-9090 | 2020-11-05 |
| 1588265698 | Kimberly Berganza | Occupational Therapist | 147 Parkdale Dr, North Babylon, NY 11703-3416 | 2020-11-04 |
| 1699376798 | Emily Anne Clark | Occupational Therapist | 3579 Bayview St, Seaford, NY 11783-3316 | 2020-11-04 |
| 1144821489 | Gabrielle Alyn Mcrae | Occupational Therapist | 348 Marshall Dr S Apt 3b, Brooklyn, NY 11209-8534 | 2020-11-03 |
| 1720689342 | Tamara Hirschler | Occupational Therapist | 146 Beach 9th St Apt 8b, Far Rockaway, NY 11691-5628 | 2020-11-02 |
| 1174123913 | Be The Change Occcupational Therapy PC | Occupational Therapist | Garden of Eden Home for Adults (ot/pt Office), 1608 Stillwell Ave, Brooklyn, NY 11223 | 2020-10-30 |
| 1588263065 | Katherine Ann Gaeta | Occupational Therapist | 600 Woodrow Rd, Staten Island, NY 10312-1230 | 2020-10-26 |
| 1710586292 | Isha Iyer | Occupational Therapist | 1013 Union St Apt 2, Brooklyn, NY 11225-1104 | 2020-10-26 |
| 1194325621 | Rosanne Lei | Occupational Therapist | 2447 E 12th St Fl 1, Brooklyn, NY 11235-5019 | 2020-10-26 |
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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.