MRS. KATISHA JOHNSON (NPI# 1285958702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285958702 |
Entity Type | Individual |
Full Name | MRS. KATISHA JOHNSON |
Practice Address |
14526 S Hoxie Ave Burnham IL 60633-2214 |
Practice Telephone | 7734433492 |
Mailing Telephone | 7734433492 |
Enumeration Date | 2010-03-26 |
Last Update Date | 2010-03-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
14526 S HOXIE AVE |
City | BURNHAM |
State | IL |
Zip Code | 60633-2214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265756787 | Regina Smith | Music Therapist | 14526 S Hoxie Ave, Burnham, IL 60633-2214 | 2010-03-26 |
1215251723 | The Over C'ers, Inc. | Early Intervention Provider Agency | 14526 S Hoxie Ave, Burnham, IL 60633-2214 | 2010-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154749513 | Ronald Paetsch I | Physical Therapy Assistant | 14500 S Manistee Ave., Burnham, IL 60633 | 2014-04-02 |
1033547914 | Sharron Lynese Mckee | Social Worker | 14545 South Manistee Ave., Unit 2c, Burnham, IL 60633 | 2013-10-31 |
1104437904 | Aracely Delreal | Counselor | 2753 E 127th St, Chicago, IL 60633-1128 | 2020-08-14 |
1790270965 | Emily Therese Opiola | Nurse Practitioner | 12816 S Muskegon Ave, Chicago, IL 60633-1243 | 2018-06-28 |
1144464322 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 3125 E 131st St, Chicago, IL 60633-1315 | 2009-05-01 |
1750468534 | James Egan | Chiropractor | 13101 S Baltimore Ave, Chicago, IL 60633-1318 | 2006-11-01 |
1194083766 | Joseph Pantano | Physical Therapy Assistant | 13002 S Brandon Ave, Chicago, IL 60633-1321 | 2012-05-02 |
1669039020 | Nikolina Medina | Speech-Language Pathologist | 13131 S Buffalo Ave, Chicago, IL 60633-1326 | 2019-05-21 |
1790811545 | Efstathia Maria Saranteas | Acupuncturist | 13144 S Buffalo Ave, Chicago, IL 60633-1327 | 2007-02-26 |
1972692812 | James M Goril | Dentist | 13247 S Baltimore Ave, Chicago, IL 60633-1431 | 2006-10-11 |
Find all providers in zip 60633 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437631744 | Nicole C Allen | Recreation Therapist | 611 N Almond St, Carbondale, IL 62901-1307 | 2018-09-04 |
1700388162 | Ricky L Hoskins I | Recreation Therapist | 109 S Crawford St, Danville, IL 61832-6418 | 2018-03-01 |
1659789089 | Kelly O'brien | Recreation Therapist | 1039 Forest Ave, Belleville, IL 62220-3623 | 2014-07-29 |
1548608169 | Deidre Omahen | Recreation Therapist | 4913 Parkway Dr, Downers Grove, IL 60515-3507 | 2013-06-05 |
1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
1871820266 | Colleen Michelle Hopp | Recreation Therapist | 10535 Faust Rd, Lebanon, IL 62254-2904 | 2009-11-06 |
1770735433 | Mary Terese Anne Squeo | Recreation Therapist | 8626 Dunbar St, Willow Springs, IL 60480-1165 | 2008-10-14 |
1477728319 | Clinical Connections | Recreation Therapist | 2225 Lakeside Dr, Bannockburn, IL 60015-1265 | 2008-04-22 |
1386847556 | Katie Barbier | Recreation Therapist | 4150 Gatling Blvd, Country Club Hills, IL 60478-2024 | 2007-06-06 |
1225248412 | Karin A Huisenga | Recreation Therapist | 17843 Durkin Rd, Tinley Park, IL 60477-2153 | 2007-05-23 |
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.