MS. COURTNEY SHALLYA DURHAM (NPI# 1245887280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245887280 |
| Entity Type | Individual |
| Full Name | MS. COURTNEY SHALLYA DURHAM |
| Credential | COTA/L |
| Practice Address |
1479 Grove Park Dr Columbus GA 31904 |
| Mailing Address |
797 Douglas Dr Ellerslie GA 31807-5655 |
| Practice Telephone | 7065309409 |
| Mailing Telephone | 7069877018 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA002437 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522614 | Courtney Dawn Durham | Registered Nurse | 272 Hospital Rd, Chillicothe, OH 45601-9031 | 2020-09-10 |
| 1619228343 | Courtney Lyn Durham | Speech-Language Pathologist | 600 Moye Blvd, Ecu Speech Language & Hearing, Health Science Rm1310, Greenville, NC 27834-4300 | 2012-09-20 |
| Street Address |
1479 GROVE PARK DR |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861931842 | Bonnie Baczewski | Physical Medicine & Rehabilitation | 1479 Grove Park Dr, Columbus, GA 31904-1585 | 2017-02-23 |
| 1356994388 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1479 Grove Park Dr, Columbus, GA 31904 | 2019-07-18 |
| 1760044069 | Kyra Davis | Physical Therapist | 1479 Grove Park Dr, Columbus, GA 31909 | 2019-07-08 |
| 1598267098 | El' Malik Chinn | Occupational Therapist | 1479 Grove Park Dr, Columbus, GA 31904-1585 | 2018-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| 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 |
|---|---|---|---|---|
| 1790306918 | Abbey Ferrell | Occupational Therapy Assistant | 5675 Ponderosa Dr, Columbus, OH 43231-3137 | 2020-04-28 |
| 1972145076 | Kimberly Reine Purple | Occupational Therapy Assistant | 1495 Brookforest Dr, Columbus, OH 43204-5026 | 2019-10-10 |
| 1417518689 | Amber Topil | Occupational Therapy Assistant | 3912 38th St Ste B, Columbus, NE 68601-1701 | 2019-06-27 |
| 1871031971 | Lauren Rebecca Roth | Occupational Therapy Assistant | 8435 Bridle View Way, Columbus, OH 43240-2059 | 2017-02-08 |
| 1336696814 | Ashley Pearl Landwehr | Occupational Therapy Assistant | 2920 East 10th St, Columbus, IN 47202-1023 | 2016-09-01 |
| 1376939892 | Marni Kay Ferster | Occupational Therapy Assistant | 350 West Pike Avenue, Columbus, MT 59019 | 2015-04-10 |
| 1316355373 | Randy Lee Matlock | Occupational Therapy Assistant | 4927 Lunar Dr, Columbus, OH 43214-1735 | 2014-07-22 |
| 1083029938 | Shaquail Herron | Occupational Therapy Assistant | 2564 Fox Pointe Dr, Columbus, IN 47203-3181 | 2014-06-29 |
| 1801208996 | Kayla Jefferson | Occupational Therapy Assistant | 8212 Lantern Ct, Columbus, GA 31904-1676 | 2014-05-23 |
| 1427487503 | Alyssa Wenig | Occupational Therapy Assistant | 2074 Hampstead Dr S, Columbus, OH 43229-2759 | 2013-11-08 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on MS. COURTNEY SHALLYA DURHAM.
| 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.