KELLI MARIE MANTEO (NPI# 1407065394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407065394 |
| Entity Type | Individual |
| Full Name | KELLI MARIE MANTEO |
| Practice Address |
4560 South Blvd 310 Virginia Beach VA 23452-1160 |
| Mailing Address |
1089 Tall Oak Dr Virginia Beach VA 23462-5261 |
| Practice Telephone | 7574903223 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1072462 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4560 SOUTH BLVD 310 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386693372 | Virginia Anne May | Physical Therapist | 4560 South Blvd, Suite 310, Virginia Beach, VA 23452-1160 | 2006-05-08 |
| 1770056277 | Che' Lisa M Parrish | Technician/Technologist | 4560 South Blvd, Virginia Beach, VA 23452-1160 | 2019-01-07 |
| 1417420183 | Audrey A Rice | Behavior Technician | 4560 South Blvd, Virginia Beach, VA 23452-1160 | 2019-01-06 |
| 1205309069 | Meghan Andrea Randolph | Behavioral Analyst | 4560 South Blvd, Virginia Beach, VA 23452-1160 | 2019-01-04 |
| 1275029670 | Kelly Bishop | Physical Therapist | 4560 South Blvd, Virginia Beach, VA 23452-1160 | 2018-07-09 |
| 1619419801 | Renee Lea Desjarlais | Speech-Language Pathologist | 4560 South Blvd, Virginia Beach, VA 23452-1160 | 2016-11-05 |
| 1215480686 | Kim Valle | Physical Therapist | 4560 South Blvd, Suite 310, Virginia Beach, VA 23452-1160 | 2016-08-02 |
| 1255884615 | Latysha Stratton | Case Manager/Care Coordinator | 4560 South Blvd, Suite 310, Virginia Beach, VA 23452-1160 | 2016-08-02 |
| 1205389665 | Sarah Slabach | Physical Therapist | 4560 South Blvd, Suite 310, Virginia Beach, VA 23452-1160 | 2016-08-02 |
| 1093168288 | Caleigh Simpkins | Speech-Language Pathologist | 4560 South Blvd, Suite310, Virginia Beach, VA 23452-1160 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| 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 |
|---|---|---|---|---|
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| 1427503598 | Nicole Pyle | Occupational Therapy Assistant | 104 Runaway Bay Dr, Apt 310, Virginia Beach, VA 23452-8121 | 2016-08-18 |
| 1568819639 | Brittany Lee Misetic | Occupational Therapy Assistant | 925 Avatar Dr, Virginia Beach, VA 23454-6879 | 2016-05-19 |
| 1114373925 | Misty Altonaga | Occupational Therapy Assistant | 4650 South Blvd Ste 310, Virginia Beach, VA 23452-1003 | 2016-05-11 |
| 1104299866 | Nicole Armogida Parton | Occupational Therapy Assistant | 608 S Claypool Ct, Virginia Beach, VA 23464-2506 | 2015-11-03 |
| 1568865178 | James Roenker | Occupational Therapy Assistant | 2492 Falcon Cres, Virginia Beach, VA 23454-1218 | 2014-09-28 |
| 1386058279 | Rhonda Coleman | Occupational Therapy Assistant | 4870 Haygood Rd, Suite 102, Virginia Beach, VA 23455-5300 | 2014-06-18 |
| 1801206495 | Patricia Pointer | Occupational Therapy Assistant | 817 Windom Pl, Virginia Beach, VA 23454-3416 | 2014-05-05 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.