JENELLE PELOQUIN (NPI# 1306203351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306203351 |
| Entity Type | Individual |
| Full Name | JENELLE PELOQUIN |
| Practice Address |
650 Birch St Baldwin WI 54002-9348 |
| Practice Telephone | 7156882506 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 202092 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 5244-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
650 BIRCH ST |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-9348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740848027 | Meghan Jean Stack | Speech-Language Pathologist | 650 Birch St, Baldwin, WI 54002-9348 | 2019-06-03 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1518471929 | Brittany Iverson | Physical Therapy Assistant | 650 Birch St, Baldwin, WI 54002-9348 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| 1902108814 | Purdy Family Dentistry | Dentist | 1730 8th Avenue, Baldwin, WI 54002 | 2010-11-29 |
| Find all providers in zip 54002 | ||||
| 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 |
|---|---|---|---|---|
| 1669941183 | Kari Rae Hallead | Occupational Therapy Assistant | 600 Denmark St, Baldwin, MI 49304-7500 | 2018-11-14 |
| 1821573494 | Ashley L Gehring | Occupational Therapy Assistant | 600 Denmark St, Baldwin, MI 49304-7500 | 2018-09-30 |
| 1649755653 | Ashley Zika | Occupational Therapy Assistant | 600 Denmark St, Baldwin, MI 49304-7500 | 2018-09-26 |
| 1528291002 | Rachel Trombley | Occupational Therapy Assistant | 640 Elm St, Baldwin, WI 54002-9358 | 2009-08-31 |
| 1740341478 | Becky Kay Stephenson | Occupational Therapy Assistant | 640 Elm St, Baldwin, WI 54002-9358 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132201 | Melanie Richardson | Occupational Therapy Assistant | 1312 W Ann St, Kaukauna, WI 54130-3882 | 2020-10-21 |
| 1316546526 | Emma Lorn Klaboe-stephens | Occupational Therapy Assistant | 1425 N 12th Ave Apt 221, Wausau, WI 54401-2451 | 2020-10-19 |
| 1639781784 | Chang Herr | Occupational Therapy Assistant | 6824 N Burbank Ave, Milwaukee, WI 53224-4844 | 2020-08-19 |
| 1720617129 | Holly Fales | Occupational Therapy Assistant | 677 East Street, Burlington, WI 53105-1639 | 2020-04-07 |
| 1316573520 | Kiana D Spanbauer | Occupational Therapy Assistant | 3321 Logan Dr Apt 7, Oshkosh, WI 54901-1178 | 2020-03-19 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1942851852 | Brittany Miller | Occupational Therapy Assistant | N35590 Weverstad Rd, Blair, WI 54616-8600 | 2019-09-23 |
| 1619526399 | Kelly Salas | Occupational Therapy Assistant | 701 Deming Way Ste 110, Madison, WI 53717-2916 | 2019-09-05 |
| 1073168019 | Kristen Koshalek | Occupational Therapy Assistant | 3541 Plover Rd # A, Wisconsin Rapids, WI 54494-2155 | 2019-08-06 |
| 1366004152 | Courtney Joy Langendorf | Occupational Therapy Assistant | W5528 N Shore Dr, New Lisbon, WI 53950-9034 | 2019-07-02 |
| 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.