MALLORIE RACHELLE RUNYARD (NPI# 1376058610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376058610 |
| Entity Type | Individual |
| Full Name | MALLORIE RACHELLE RUNYARD |
| Credential | COTA |
| Practice Address |
5833 American Pkwy Madison WI 53718-8325 |
| Practice Telephone | 6082304681 |
| Practice Fax Number | 6082304680 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NBCOT | 241087 | 01 | |
| WI | COTA | 4627-27 | 01 |
| Street Address |
5833 AMERICAN PKWY |
| City | MADISON |
| State | WI |
| Zip Code | 53718-8325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982888277 | Oakwood Village East Lutheran Homes, Inc | Skilled Nursing Facility | 5833 American Pkwy, Madison, WI 53718 | 2007-12-21 |
| 1124533898 | Kirsten Johanna Mckee | Physical Therapy Assistant | 5833 American Pkwy, Madison, WI 53718-8325 | 2017-12-04 |
| 1225562358 | Kristin Everett Lefel | Physical Therapist | 5833 American Pkwy, Madison, WI 53718-8325 | 2017-04-14 |
| 1285902544 | Ashley Melvin | Speech-Language Pathologist | 5833 American Pkwy, Madison, WI 53718-8325 | 2011-12-01 |
| 1538491006 | Shari L. Wuebben | Physical Therapy Assistant | 5833 American Pkwy, Madison, WI 53718-8325 | 2010-02-08 |
| 1679803811 | Rama Ahuja | Physical Therapist | 5833 American Pkwy, Madison, WI 53718-8325 | 2010-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
| 1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
| 1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
| 1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
| 1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
| 1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
| 1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
| Find all providers in zip 53718 | ||||
| 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 |
|---|---|---|---|---|
| 1619526399 | Kelly Salas | Occupational Therapy Assistant | 701 Deming Way Ste 110, Madison, WI 53717-2916 | 2019-09-05 |
| 1285291997 | Racheal Shawntell Gee | Occupational Therapy Assistant | 228 Sw Arbour Cir, Madison, FL 32340-4364 | 2019-05-29 |
| 1710471859 | Mariah Kay Barr | Occupational Therapy Assistant | 6205 Mineral Point Rd, Madison, WI 53705-4576 | 2018-06-21 |
| 1629560073 | Stephanie M Hill | Occupational Therapy Assistant | 20 Samantha Ln, Madison, CT 06443-8113 | 2018-06-01 |
| 1487150405 | Jessi Jones Blissett | Occupational Therapy Assistant | 106 Emry Cv, Madison, MS 39110-7784 | 2018-03-30 |
| 1629582200 | Julia Mary Loebertman | Occupational Therapy Assistant | 1044 N High Point Rd Apt 202, Madison, WI 53717-2814 | 2017-11-19 |
| 1902319320 | Chantelle Peplinski | Occupational Therapy Assistant | 2614 Ardsley Cir Apt 4, Madison, WI 53713-2969 | 2017-11-07 |
| 1225571730 | Lenette Thompson | Occupational Therapy Assistant | 4501 Wakefield St, Madison, WI 53711-1407 | 2016-12-01 |
| 1922488840 | Debra Smith | Occupational Therapy Assistant | 900 Colonial Lake Dr Apt 923, Madison, AL 35758-2283 | 2015-06-05 |
| 1548685654 | Traves Jeffery | Occupational Therapy Assistant | 122 Devlin Springs Dr, Madison, MS 39110-6549 | 2014-02-26 |
| Find all providers in MADISON | ||||
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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.