JUSTINE COBURN (NPI# 1396272571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396272571 |
| Entity Type | Individual |
| Full Name | JUSTINE COBURN |
| Credential | COTA |
| Practice Address |
6201 Elmwood Ave Middleton WI 53562-3319 |
| Practice Telephone | 4143319389 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 4929-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6201 ELMWOOD AVE |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114079225 | Torilynne Kersten | Speech-Language Pathologist | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2007-01-17 |
| 1184106916 | Christopher Michael Lins | Physical Therapy Assistant | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2018-08-29 |
| 1235615154 | Brian Rice | Speech-Language Pathologist | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2018-07-13 |
| 1740796275 | Payal Anilkumar Patel | Physical Therapist | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2017-12-20 |
| 1508378233 | Natasha Thya Hill | Physical Therapy Assistant | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2017-11-03 |
| 1538686084 | Marissa Braymen | Speech-Language Pathologist | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2017-08-25 |
| 1861922106 | Katie N Ackerman | Physical Therapy Assistant | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2017-06-19 |
| 1699201939 | Rehab Care | Skilled Nursing Facility | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2017-05-05 |
| 1104351279 | Jacob L Perlman | Occupational Therapist | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2017-04-26 |
| 1295269207 | Brittany Innes | Occupational Therapist | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2017-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
| 1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
| 1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
| Find all providers in zip 53562 | ||||
| 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 |
|---|---|---|---|---|
| 1508265273 | Patricia Flanagan | Occupational Therapy Assistant | 38 Village Rd, Middleton, MA 01949-1260 | 2014-08-19 |
| 1811154818 | Nicolle Johnson | Occupational Therapy Assistant | 3631 Napoli Ln Apt 2, Middleton, WI 53562-2160 | 2008-05-19 |
| 1053588186 | Ann Lynette Hellickson | Occupational Therapy Assistant | 6201 Elmwood Avenue, Middleton, WI 53562-3319 | 2008-05-08 |
| 1669640322 | Julie Anzalone | Occupational Therapy Assistant | 8 Meadow Dr, Middleton, MA 01949-2322 | 2008-02-15 |
| 1376910752 | Whitney Ann Schlimgen | Occupational Therapy Assistant | 8301 Old Sauk Rd, Middleton, WI 53562-4389 | 2015-09-01 |
| 1255698692 | Donna L. Painchaud | Occupational Therapy Assistant | 25 Central St, Middleton, MA 01949-1717 | 2012-04-23 |
| 1366732075 | Amy Jo Brashi | Occupational Therapy Assistant | 8301 Old Sauk Rd, Middleton, WI 53562-4389 | 2011-04-14 |
| 1346542792 | Rita Hellenbrand | Occupational Therapy Assistant | 6201 Elmwood Ave, Middleton, WI 53562-3319 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132201 | Melanie Richardson | Occupational Therapy Assistant | 1312 W Ann St, Kaukauna, WI 54130-3882 | 2020-10-21 |
| 1316546526 | Emma Lorn Klaboe-stephens | Occupational Therapy Assistant | 1425 N 12th Ave Apt 221, Wausau, WI 54401-2451 | 2020-10-19 |
| 1639781784 | Chang Herr | Occupational Therapy Assistant | 6824 N Burbank Ave, Milwaukee, WI 53224-4844 | 2020-08-19 |
| 1720617129 | Holly Fales | Occupational Therapy Assistant | 677 East Street, Burlington, WI 53105-1639 | 2020-04-07 |
| 1316573520 | Kiana D Spanbauer | Occupational Therapy Assistant | 3321 Logan Dr Apt 7, Oshkosh, WI 54901-1178 | 2020-03-19 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1942851852 | Brittany Miller | Occupational Therapy Assistant | N35590 Weverstad Rd, Blair, WI 54616-8600 | 2019-09-23 |
| 1619526399 | Kelly Salas | Occupational Therapy Assistant | 701 Deming Way Ste 110, Madison, WI 53717-2916 | 2019-09-05 |
| 1073168019 | Kristen Koshalek | Occupational Therapy Assistant | 3541 Plover Rd # A, Wisconsin Rapids, WI 54494-2155 | 2019-08-06 |
| 1366004152 | Courtney Joy Langendorf | Occupational Therapy Assistant | W5528 N Shore Dr, New Lisbon, WI 53950-9034 | 2019-07-02 |
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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.