MR. KENNETH WARREN BERDEEN II (NPI# 1265798524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265798524 |
| Entity Type | Individual |
| Full Name | MR. KENNETH WARREN BERDEEN II |
| Credential | COTA/L |
| Practice Address |
220 Haley Rd Ledyard CT 06339 |
| Practice Telephone | 4019328050 |
| Mailing Telephone | 4019328050 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 001179 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
220 HALEY RD |
| City | LEDYARD |
| State | CT |
| Zip Code | 06339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538404728 | Michael Christopher Kendig | Veterinarian | 5 Lorenz Industrial Parkway, Ledyard, CT 06339 | 2012-11-29 |
| 1720342850 | Alyson King Gannon | Physician Assistant | 2 Lorenz Pkwy, Backus Health Center, Ledyard, CT 06339 | 2012-07-03 |
| 1427257054 | Caitlyn Elizabeth Ogilvie | Social Worker | 24 Gallup Hill Rd, Ledyard, CT 06339 | 2007-07-13 |
| 1003965450 | Sandra Berardy | Nurse Practitioner | 75 Route 2, Mashantucket Pequot Indian Health Services, Ledyard, CT 06339 | 2007-01-08 |
| 1013093434 | Joy Holistic Counseling LLC | Social Worker | 1807 Center Groton Rd, Ledyard, CT 06339 | 2006-10-27 |
| 1972687952 | Linda R Kronick | Dentist | 77 Salem Turnpike, Suite 112, Norwich, CT 06339 | 2006-10-25 |
| 1245225887 | Town of Ledyard | Ambulance | 741 R Col Ledyard Highway, Ledyard, CT 06339 | 2005-09-20 |
| 1841338332 | Barbara Jean Savage | Social Worker | 1807 Center Groton Rd, Ledyard, CT 06339 | 2007-02-05 |
| 1508140922 | Mashantucket Pequot Tribal Council | Family Medicine | 75 Route 2, Ledyard, CT 06339-1128 | 2011-10-04 |
| 1508170556 | Mashantucket Pequot Tribal Nation Health Center | Clinic/Center | 75 Route 2, Ledyard, CT 06339-1128 | 2010-08-02 |
| Find all providers in zip 06339 | ||||
| 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 |
|---|---|---|---|---|
| 1891396123 | Evelyn Karen Roman | Occupational Therapy Assistant | 2120 S Britain Rd, Southbury, CT 06488-1203 | 2020-11-03 |
| 1730788431 | Michelle Cano | Occupational Therapy Assistant | 65 Commercial Blvd, Torrington, CT 06790-3097 | 2020-10-22 |
| 1093314940 | Zoada Sahn | Occupational Therapy Assistant | 140 Fulkerson Dr Apt 12e, Waterbury, CT 06708-1441 | 2020-10-21 |
| 1508465808 | Debbie Cooke Charpentier | Occupational Therapy Assistant | 22 Dwight St, Bristol, CT 06010-4105 | 2020-10-19 |
| 1912505470 | Cera Spyros | Occupational Therapy Assistant | 73 Woodland Dr, Southington, CT 06489-4020 | 2020-10-15 |
| 1558977181 | Monika N/a Skubisz | Occupational Therapy Assistant | 25 Woodsedge Dr Apt 3b, Newington, CT 06111-4280 | 2020-09-18 |
| 1487279717 | Brooke Faircloth Bluege | Occupational Therapy Assistant | 138 Green Hill Rd, Killingworth, CT 06419-2219 | 2020-06-12 |
| 1447800297 | Keri Jacobs | Occupational Therapy Assistant | 101 Summerhill Rd, Wallingford, CT 06492-3476 | 2019-09-13 |
| 1487204343 | Kristie Jean Quinn | Occupational Therapy Assistant | 74 Whalehead Rd, Gales Ferry, CT 06335-1326 | 2019-09-12 |
| 1154984367 | Jonathan Scott Stadler | Occupational Therapy Assistant | 7 Meadowlark Ln, East Lyme, CT 06333-1335 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
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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.