ELLIE SHIELDS (NPI# 1255871323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255871323 |
| Entity Type | Individual |
| Full Name | ELLIE SHIELDS |
| Practice Address |
1177 N Warson Rd Saint Louis MO 63132-1810 |
| Practice Telephone | 3148172262 |
| Practice Fax Number | 3145690778 |
| Mailing Telephone | 3148172262 |
| Mailing Fax Number | 3145690778 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1177 N WARSON RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255446803 | Susan Alstat | Speech-Language Pathologist | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2006-08-21 |
| 1629675806 | Julie Lorraine Preuss | Behavioral Analyst | 1177 N Warson Rd, Saint Louis, MO 63132-1800 | 2020-10-01 |
| 1982211298 | Kennedy Neville | Occupational Therapist | 1177 N Warson Rd, Saint Louis, MO 63132-1800 | 2020-09-30 |
| 1346697786 | Jennifer Stevens | Behavioral Analyst | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2016-05-16 |
| 1780055954 | Heather Cloud | Behavioral Analyst | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2015-10-14 |
| 1881065258 | Krystal Jimerson | Behavioral Analyst | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2015-10-12 |
| 1215310214 | Lindsey Faith Moore | Technician, Other | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2015-07-08 |
| 1750769915 | Joy Kristine Bender | Occupational Therapist | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2015-05-08 |
| 1518376540 | Sarah Lyn Marshall | Speech-Language Pathologist | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2014-08-04 |
| 1770921561 | Michelle Diane Fricks | Speech-Language Pathologist | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2013-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| 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 |
|---|---|---|---|---|
| 1710594239 | Kayla Rebeca Smith | Occupational Therapist | 4931 Mcpherson Ave Apt D, Saint Louis, MO 63108-1627 | 2020-09-29 |
| 1518573252 | Amanda Cline | Occupational Therapist | 729 S Laclede Station Rd, Saint Louis, MO 63119-4911 | 2020-09-18 |
| 1508481466 | Forward Function Therapy LLC | Occupational Therapist | 5010 Elenore Ave Fl 1, Saint Louis, MO 63116-1300 | 2020-06-16 |
| 1275162869 | Audrey Keleman | Occupational Therapist | 4961 Laclede Ave Apt 401, Saint Louis, MO 63108-1438 | 2020-04-06 |
| 1851924666 | Danielle Nicole Sellers | Occupational Therapist | 167 Cherbourg Dr, Saint Louis, MO 63129-3453 | 2020-02-20 |
| 1780229278 | Catherine Morroney | Occupational Therapist | 1881 Pine St, Saint Louis, MO 63103-2264 | 2019-11-08 |
| 1366092405 | Meagan Welsh | Occupational Therapist | 4974 Schollmeyer Ave, Saint Louis, MO 63109-3781 | 2019-09-19 |
| 1659927507 | Lesley Quigley | Occupational Therapist | 11960 Westline Industrial Dr # Dr201, Saint Louis, MO 63146-3228 | 2019-08-15 |
| 1588123418 | Molly Susan Seberg | Occupational Therapist | 5030 Lexington Ave, Saint Louis, MO 63115-1505 | 2019-03-19 |
| 1962991653 | Paula Erbs | Occupational Therapist | 10410 Vintage Ct, Saint Louis, MO 63128-1623 | 2018-05-08 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63132 |
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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.