SHELBEY ALLYN COSTELLO (NPI# 1366095234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366095234 |
| Entity Type | Individual |
| Full Name | SHELBEY ALLYN COSTELLO |
| Credential | OTR/L |
| Practice Address |
736 Main St Boonville MO 65233-1656 |
| Mailing Address |
4 Broadway Village Dr Apt H Columbia MO 65201-8674 |
| Practice Telephone | 6608827474 |
| Mailing Telephone | 4173892751 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2019027108 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
736 MAIN ST |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376682955 | Reorganized School District No 1 | Physical Therapist | 736 Main St, Boonville, MO 65233-1656 | 2007-02-06 |
| 1285159368 | Jane Brengarth | Speech-Language Pathologist | 736 Main St, Boonville, MO 65233-1656 | 2017-08-09 |
| 1114350303 | Risa L Venable | Speech-Language Pathologist | 736 Main St, Special Services, Boonville, MO 65233-1656 | 2013-08-12 |
| 1639485097 | Debra S Huff | Speech-Language Pathologist | 736 Main St, Boonville, MO 65233-1656 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| 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 |
|---|---|---|---|---|
| 1407334717 | Melanie Metherd | Occupational Therapist | 814 Locust St, Boonville, MO 65233-1311 | 2018-07-30 |
| 1730692765 | Amanda Lyn Jackson | Occupational Therapist | 2222 S Rockport Rd, Boonville, IN 47601-7926 | 2017-11-13 |
| 1285782938 | Cynthia Marie Hinds | Occupational Therapist | 822 S Pelzer Rd, Boonville, IN 47601-7820 | 2007-01-08 |
| 1770653735 | Annette Dimmett | Occupational Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2006-11-08 |
| 1528413101 | Jeannette Conlon Williams | Occupational Therapist | 12592 Potato Hill Rd, Boonville, NY 13309-4840 | 2016-05-02 |
| 1447562871 | Danielle Christine Woodson | Occupational Therapist | 17651 B Hwy, Boonville, MO 65233-2839 | 2010-07-14 |
| 1124264775 | Sammy H Goedrich | Occupational Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2009-01-05 |
| 1689885204 | Bohdan G Krop | Occupational Therapist | 232 Academy St, Boonville, NY 13309-1397 | 2007-05-25 |
| 1245340371 | Andrea Theresa Hoehn | Occupational Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205670 | Sara Crites | Occupational Therapist | 704 E 122nd St, Kansas City, MO 64146-1113 | 2020-11-08 |
| 1700486255 | Emily Allison | Occupational Therapist | 3680 Ne Akin Dr Ste 134, Lees Summit, MO 64064-7853 | 2020-10-26 |
| 1831798453 | Speaklife Therapy Services, LLC | Occupational Therapist | 919 Dogwood Trail Loop, Carl Junction, MO 64834-9309 | 2020-10-24 |
| 1063011856 | Rebeca Duvert | Occupational Therapist | 8550 N Garden Village Retirement, Kansas City, MO 64154-1200 | 2020-10-22 |
| 1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
| 1710594239 | Kayla Rebeca Smith | Occupational Therapist | 4931 Mcpherson Ave Apt D, Saint Louis, MO 63108-1627 | 2020-09-29 |
| 1447867437 | Danae Marie Wollberg | Occupational Therapist | 531 Roaring Fork Dr, Wildwood, MO 63040-1566 | 2020-09-24 |
| 1518573252 | Amanda Cline | Occupational Therapist | 729 S Laclede Station Rd, Saint Louis, MO 63119-4911 | 2020-09-18 |
| 1366056467 | Mikayla Renee Stupps | Occupational Therapist | 10144 N Tracy Ave, Kansas City, MO 64155-3716 | 2020-09-04 |
| 1962016774 | Envision Rehab and Wellness LLC | Occupational Therapist | 7421 Mexico Rd Ste 102, Saint Peters, MO 63376-1369 | 2020-08-31 |
| 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.