MR. KIM ELLEN D'AMBRA (NPI# 1295852853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295852853 |
| Entity Type | Individual |
| Full Name | MR. KIM ELLEN D'AMBRA |
| Credential | OTR |
| Practice Address |
3141 N Mcmullen Booth Rd Clearwater FL 33761-2035 |
| Mailing Address |
899 44th Ave Ne Saint Petersburg FL 33703-5123 |
| Practice Telephone | 7277237735 |
| Practice Fax Number | 7277267696 |
| Mailing Telephone | 7275257949 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT12429 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3141 N MCMULLEN BOOTH RD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989687 | Wickshire Countryside Opco LLC | Alzheimer Center (Dementia Center) | 3141 N Mcmullen Booth Rd, Clearwater, FL 33761-2035 | 2020-10-13 |
| 1144558180 | Charles Richard Leidner | Specialist | 3141 N Mcmullen Booth Rd, Clearwater, FL 33761-2035 | 2009-12-03 |
| 1558699561 | Barbara Denise Durr | Physical Therapy Assistant | 3141 N Mcmullen Booth Rd, Clearwater, FL 33761-2035 | 2009-12-02 |
| 1982832408 | Sharon Ann Nelson | Physical Therapist | 3141 N Mcmullen Booth Rd, Clearwater, FL 33761-2035 | 2009-06-23 |
| 1922240738 | Emily Parris Mcdonough | Speech-Language Pathologist | 3141 N Mcmullen Booth Rd, Clearwater, FL 33761-2035 | 2009-03-26 |
| 1669592382 | Marsha Jane Clanton | Physical Therapy Assistant | 3141 N Mcmullen Booth Rd, Clearwater, FL 33761-2035 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| 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 |
|---|---|---|---|---|
| 1861005415 | Cassidy White | Occupational Therapist | 2690 Drew St Apt 855, Clearwater, FL 33759-3111 | 2020-08-24 |
| 1013532423 | Brenna Ann Spellissy | Occupational Therapist | 2213 Kent Pl, Clearwater, FL 33764-6624 | 2020-06-11 |
| 1487118501 | Adam Mullikin | Occupational Therapist | 14986 Cromwell Dr, Clearwater, FL 33764-7008 | 2019-01-23 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1720528953 | Kimberly Yetman | Occupational Therapist | 2568 Redwood Way, Clearwater, FL 33761-3914 | 2017-03-07 |
| 1407399769 | Ernesto Baticados Jr. | Occupational Therapist | 3277 Pine Haven Dr, Clearwater, FL 33761-2232 | 2016-11-18 |
| 1629313861 | Elizabeth Anne Delahunty | Occupational Therapist | 3337 Masters Dr, Clearwater, FL 33761-1825 | 2012-11-28 |
| 1013262146 | Doris Georgia Brown | Occupational Therapist | 6700 150th Ave N, Lot 439, Clearwater, FL 33764-7186 | 2012-07-15 |
| 1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
| 1780973727 | Phoxay Ngo | Occupational Therapist | 2717 Seville Blvd Apt 11101, Clearwater, FL 33764-1174 | 2011-03-30 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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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.