NICOLE ELEANOR COSGROVE (NPI# 1386134708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386134708 |
| Entity Type | Individual |
| Full Name | NICOLE ELEANOR COSGROVE |
| Credential | COTA |
| Practice Address |
1350 14th Ave Se Decatur AL 35601-4364 |
| Mailing Address |
26 Addison Park Dr Nw Apt 310 Huntsville AL 35806-2495 |
| Practice Telephone | 2563556911 |
| Mailing Telephone | 9548702762 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 4736 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1350 14TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760432652 | Sunbridge Healthcare LLC | Skilled Nursing Facility | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2006-05-11 |
| 1144827841 | Amber Debardlabon | Occupational Therapist | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2020-10-06 |
| 1891335253 | Marquitta Hillman | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2020-01-13 |
| 1932625050 | Sarah Joann Theros | Occupational Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2017-08-21 |
| 1639527781 | Nora Jackson Moseley | Speech-Language Pathologist | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-05-31 |
| 1972966174 | April Hughes | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-04-04 |
| 1174986830 | Lakiesha Dobbs | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-03-31 |
| 1043673759 | Katelyn Meadows | Speech-Language Pathologist | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-03-30 |
| 1942662663 | Kelly Schroeder | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-03-22 |
| 1538520572 | Bridget Fulks | Physical Therapy Assistant | 1350 14th Ave Se, Decatur, AL 35601-4364 | 2016-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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 |
|---|---|---|---|---|
| 1003464413 | Alliah M Iqbal | Occupational Therapy Assistant | 2390 S Lost Bridge Rd, Decatur, IL 62521-4653 | 2019-08-28 |
| 1972061901 | Carol Jean Zilz | Occupational Therapy Assistant | 4825 Evergreen Ct, Decatur, IL 62521-8774 | 2019-03-08 |
| 1992277271 | Mark Anthony Bajkowsky | Occupational Therapy Assistant | 1555 W Business 380, Decatur, TX 76234-3216 | 2018-12-26 |
| 1376015750 | Kailey N Herter | Occupational Therapy Assistant | 7945 Bentonville Rd, Decatur, IL 62521-9512 | 2018-12-21 |
| 1356855241 | Shamia D. James | Occupational Therapy Assistant | 4153 Flat Shoals Pkwy # C300, Decatur, GA 30034-4106 | 2017-11-30 |
| 1568992238 | Ann Marie Barnes | Occupational Therapy Assistant | 341 Winn Way Apt 203, Decatur, GA 30030-2107 | 2017-06-15 |
| 1154850303 | Siran Eller | Occupational Therapy Assistant | 4180 Irving Dr, Decatur, IL 62521-4134 | 2017-06-09 |
| 1871907253 | Cheyanne Harris | Occupational Therapy Assistant | 995 N Park Pl, Decatur, IL 62522-1458 | 2014-06-13 |
| 1962814251 | Elizabeth Scott | Occupational Therapy Assistant | 2531 Brentford Pl, Decatur, GA 30032-5622 | 2014-05-21 |
| 1467884254 | Rebecca Ward | Occupational Therapy Assistant | 1897 Longdale Dr, Decatur, GA 30032-5243 | 2013-08-02 |
| Find all providers in DECATUR | ||||
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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.