MRS. COLLEEN ANNE WHALEN (NPI# 1306382387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306382387 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN ANNE WHALEN |
| Other Name | MRS. COLLEEN ANNE SANDFORD |
| Credential | COTA/L |
| Practice Address |
171 Intrepid Ln Syracuse NY 13205 |
| Mailing Address |
171 Intrepid Ln Syracuse NY 13205-2548 |
| Practice Telephone | 3154374689 |
| Mailing Telephone | 3154374689 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 009654-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
171 INTREPID LN |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902907488 | Todd M Stady | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2006-09-26 |
| 1154937308 | Andrea Auer | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-09-22 |
| 1699386649 | Chelsea Hufnagle | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-13 |
| 1659981934 | Margaret Ann Conklin | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-03 |
| 1477171726 | Julia Elizabeth Johnson | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-07-13 |
| 1053934786 | Kristin Hinkey | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-05-28 |
| 1588297436 | Abigail Jane Izzo | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-02-19 |
| 1730723453 | Teresa Jean Barrett | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-11-06 |
| 1679115588 | Shea Lynn Beachner | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| 1396387296 | Katelyn Michelle Warren | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| 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 |
|---|---|---|---|---|
| 1609489210 | Yearin Lim | Occupational Therapy Assistant | 770 James St Apt 705, Syracuse, NY 13203-2626 | 2020-08-25 |
| 1457717860 | Meghan Louise Stayton | Occupational Therapy Assistant | 11498 S County Rd, Syracuse, MO 65354-2012 | 2016-01-14 |
| 1285044644 | Brandi Miller | Occupational Therapy Assistant | 8338 E Mcclintic Rd, Syracuse, IN 46567-7526 | 2014-05-06 |
| 1790075380 | Michele Kearney | Occupational Therapy Assistant | 212 Locust Ln, Syracuse, NY 13219-2120 | 2011-04-15 |
| 1699396127 | Monica Ann Watkins | Occupational Therapy Assistant | 918 James St, Syracuse, NY 13203-2500 | 2020-05-06 |
| 1942774609 | Serena Diane Hunter | Occupational Therapy Assistant | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2019-01-16 |
| 1740767524 | Laura Flaherty | Occupational Therapy Assistant | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2018-07-24 |
| 1891272613 | Jada Cheyene Spiceland | Occupational Therapy Assistant | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2018-07-24 |
| 1538651583 | Shana Larraine Ralston | Occupational Therapy Assistant | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2018-06-05 |
| 1932640810 | Katie Benz | Occupational Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-13 |
| Find all providers in SYRACUSE | ||||
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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.