KEVIN BOUSE (NPI# 1396909891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396909891 |
| Entity Type | Individual |
| Full Name | KEVIN BOUSE |
| Credential | OT |
| Practice Address |
180 S 3rd St Bldg E Suite 30 Belleville IL 62220-1952 |
| Practice Telephone | 6182342120 |
| Practice Fax Number | 6182224661 |
| Mailing Telephone | 6182342120 |
| Mailing Fax Number | 6182224661 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056004158 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
180 S 3RD ST BLDG E SUITE 30 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| 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 |
|---|---|---|---|---|
| 1942822986 | Holsman Physical Therapy & Rehab of Ind LLC | Occupational Therapist | 710 Mill St Unit H3, Belleville, NJ 07109-5306 | 2020-05-13 |
| 1770125494 | Yamiley Lemoine | Occupational Therapist | 182 Adelaide St, Belleville, NJ 07109-2302 | 2019-10-14 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1609248780 | Samantha Davis | Occupational Therapist | 286 Rose St, Belleville, WI 53508-9207 | 2015-10-28 |
| 1235559279 | Kaye Ledgister | Occupational Therapist | 267 New St, Belleville, NJ 07109-2126 | 2014-04-17 |
| 1760816003 | Melissa Jo Benson | Occupational Therapist | 11150 Oak Ln Apt 7101, Belleville, MI 48111-4311 | 2013-08-22 |
| 1982954665 | Patricia Ann Morris | Occupational Therapist | 13836 Arlene Ln, Belleville, MI 48111-4949 | 2012-09-11 |
| 1841579802 | Charity D Knight | Occupational Therapist | 13822 Old Booneville Rd, Belleville, AR 72824-8861 | 2011-08-09 |
| 1376866806 | Brooke Nicole Hanvey | Occupational Therapist | 23 Gerri Ann Dr, Belleville, IL 62220-3151 | 2010-03-11 |
| 1508196940 | Patricia Ann Trujillo | Occupational Therapist | 418 Walnut St, Belleville, IL 62220-4057 | 2010-01-07 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.