MR. MARTIN JAMES CONNELLY (NPI# 1275697054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275697054 |
| Entity Type | Individual |
| Full Name | MR. MARTIN JAMES CONNELLY |
| Credential | OTR |
| Practice Address |
2415 Sunrise Dr Eureka MO 63025-3512 |
| Practice Telephone | 6369386534 |
| Mailing Telephone | 6369386534 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 001454 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2415 SUNRISE DR |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| 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 |
|---|---|---|---|---|
| 1104470830 | Jessica Lynn Lopez Seely | Occupational Therapist | 1333 Coast Guard St, Eureka, CA 95501-7504 | 2019-07-31 |
| 1073095170 | Allison Hill | Occupational Therapist | 101 Towne Square Ct Apt G, Eureka, MO 63025-1913 | 2018-09-05 |
| 1245628064 | Matthewz Zelden | Occupational Therapist | 1110 K St, Eureka, CA 95501-2458 | 2014-12-31 |
| 1649544602 | Donna Stafford | Occupational Therapist | 103 Mockingbird Ct, Eureka, MT 59917-9493 | 2012-03-07 |
| 1700057734 | Christina Whatley | Occupational Therapist | 936 Emerald Oaks Ct, Eureka, MO 63025-2371 | 2008-03-18 |
| 1548478589 | Joyce Ann Wicklund | Occupational Therapist | 2353 23rd St., Eureka Health & Wellness Center, Ot Dept., Eureka, CA 95501 | 2007-05-21 |
| 1194865741 | Brenda Mccarthy | Occupational Therapist | 346 Lewis Bluff Cir, Eureka, MO 63025-1638 | 2007-02-06 |
| 1568538007 | Heidi Ann Kaun | Occupational Therapist | 2121 Myrtle Ave, Eureka, CA 95501 | 2006-11-27 |
| 1942394838 | Jo Ellen Tennyson-samson | Occupational Therapist | 517 3rd St, Eureka, CA 95501-5105 | 2006-10-03 |
| 1437260460 | Sara Lynn Dowil | Occupational Therapist | 217 E 5th St, Eureka, MO 63025-1223 | 2006-08-31 |
| Find all providers in EUREKA | ||||
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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.