KATHERYNE MAE ELLIS (NPI# 1376193482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376193482 |
| Entity Type | Individual |
| Full Name | KATHERYNE MAE ELLIS |
| Credential | OTR/L |
| Practice Address |
2635 Rabbit Run Bloomfield NY 14469-9550 |
| Practice Telephone | 5857496827 |
| Mailing Telephone | 5857496827 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 023920 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 072.0134090 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2635 RABBIT RUN |
| City | BLOOMFIELD |
| State | NY |
| Zip Code | 14469-9550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780949636 | Fern Legters | Acupuncturist | 7374 Gauss Road, Bloomfield, NY 14469 | 2012-07-06 |
| 1548299894 | Jean Muller Rohland | Preventive Medicine | 2051 West Bloomfield Rd, Bloomfield, NY 14469 | 2006-06-30 |
| 1245267665 | Jean Muller Rohland Md | Preventive Medicine | 2051 W Bloomfield Rd, Bloomfield, NY 14469 | 2006-06-28 |
| 1326566043 | Jennifer Leigh Frary | Counselor | 1 Wellness Way, Suite B, E Bloomfield, NY 14469 | 2017-09-01 |
| 1477863678 | Bloomfield Oral Health | Dentist | 54 W Main St, Bloomfield, NY 14469 | 2010-10-21 |
| 1356492110 | Shelley Bloomquist | Physical Therapy Assistant | 400 North Main St., Wyoming County Community Hospital, Warsaw, NY 14469 | 2007-01-16 |
| 1487786117 | Trudy Ann Miller | Licensed Practical Nurse | 4 South Ave, Bloomfield, NY 14469-9200 | 2007-03-09 |
| 1447531330 | Gillian Lynn Kingsley | Registered Nurse | 8080 Wesley Rd, Bloomfield, NY 14469-9211 | 2011-09-06 |
| 1053549568 | Randall K. Freeman, Dds | Dentist | 54 West Main Street, Bloomfield, NY 14469-9231 | 2009-06-24 |
| 1396804720 | Seneca Gorham Security Systems, Inc. | Durable Medical Equipment & Medical Supplies | 22 Main St, Bloomfield, NY 14469-9231 | 2006-12-08 |
| Find all providers in zip 14469 | ||||
| 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 |
|---|---|---|---|---|
| 1821522939 | Gabrielle Styles | Occupational Therapist | 206 Bloomfield Ave, Apt 308, Bloomfield, NJ 07003-5758 | 2017-04-14 |
| 1174882187 | Sheila Librinca | Occupational Therapist | 22 Spruce St, Bloomfield, NJ 07003-3410 | 2012-05-10 |
| 1003191073 | Jalpa Dhaduk | Occupational Therapist | 47 Dalebrook Rd., Bloomfield, NJ 07003 | 2011-10-20 |
| 1881925881 | Donald William Nelson | Occupational Therapist | 278 W Davis St, Bloomfield, IN 47424-1505 | 2010-01-15 |
| 1871773119 | Jo Ann Lewis | Occupational Therapist | 11 Mount Vernon Ave, Bloomfield, NJ 07003-3992 | 2007-11-04 |
| 1679630487 | Anina Christine Olsen | Occupational Therapist | 21 Oakmount Ave, Bloomfield, NY 14469-9400 | 2007-01-02 |
| 1053932590 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 31 Broad St, Bloomfield, NJ 07003-2523 | 2020-05-06 |
| 1710546288 | Amanda Suzanne Curcio | Occupational Therapist | 44 Park St, Bloomfield, NJ 07003-2575 | 2019-06-10 |
| 1194284653 | Holsman Physical Therapy and Wellness PC | Occupational Therapist | 44 Park St, Bloomfield, NJ 07003-2575 | 2019-03-14 |
| 1013472091 | Kaitlin Hill | Occupational Therapist | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2019-02-05 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 14469 |
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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.