KALI MICHELLE NISSEN


Address: 5156 Whipple Ave Nw, Canton, OH 44718-2663
Phone: 3304781752

KALI MICHELLE NISSEN (NPI# 1407272347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407272347
Entity Type Individual
Full Name KALI MICHELLE NISSEN
Credential OT
Practice Address 5156 Whipple Ave Nw
Canton
OH 44718-2663
Practice Telephone 3304781752
Practice Fax Number 3304781763
Mailing Telephone 3304781752
Mailing Fax Number 3304781763
Enumeration Date 2014-03-17
Last Update Date 2014-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
OT-008638 OH Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 3055563 05

Office Location

Street Address 5156 WHIPPLE AVE NW
City CANTON
State OH
Zip Code 44718-2663

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720309065 Kyle Ann Bundy Physical Therapy Assistant 5156 Whipple Ave Nw, Canton, OH 44718-2663 2010-06-22
1831590462 Angela Rose Hiltbrand Physical Therapist 5156 Whipple Ave Nw, Canton, OH 44718-2663 2014-09-15
1659797298 Cara E Clester Physical Therapist 5156 Whipple Ave Nw, Canton, OH 44718-2663 2014-03-06
1568896595 Roberta L. Rankl Speech-Language Pathologist 5156 Whipple Ave Nw, Canton, OH 44718-2663 2013-08-27
1386084812 Nicole Lynn Clester Occupational Therapist 5156 Whipple Ave Nw, Canton, OH 44718-2663 2013-06-28
1730435777 Alexandra Renee Larson Physical Therapist 5156 Whipple Ave Nw, Canton, OH 44718-2663 2012-07-27
1003179607 Alexa J Goffus Speech-Language Pathologist 5156 Whipple Ave Nw, Canton, OH 44718-2663 2012-06-19
1316228216 Lisa Marie Utt Physical Therapy Assistant 5156 Whipple Ave Nw, Canton, OH 44718-2663 2011-09-06
1780963173 Felicia Marie Baird Speech-Language Pathologist 5156 Whipple Ave Nw, Canton, OH 44718-2663 2011-08-16
1356639215 Amy L. Hammock Occupational Therapy Assistant 5156 Whipple Ave Nw, Canton, OH 44718-2663 2011-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639658057 Christine Lynn Mccrone Psychologist 4450 Belden Village St Nw Ste 701, Canton, OH 44718 2018-08-07
1295252500 Dora C Holliday Student in an Organized Health Care Education/Training Program 4641 Fulton Dr N.w., Canton, OH 44718 2017-08-28
1770035487 A B A Let's Play, Inc. Community/Behavioral Health 6304 Shipslanding Ave Nw, Canton, OH 44718 2016-10-28
1457710139 Aria Lg Counseling and Wellness Center, LLC Clinic/Center 5262 Fulton Road Nw, Canton, OH 44718 2016-02-23
1457722365 Melinda R Bond Nurse Practitioner 4105 Holiday Street Nw, Canton, OH 44718 2015-10-19
1164804860 Ashley Marie Whetsell Dentist 4550 Belden Village Street Nw, Canton, OH 44718 2015-06-18
1346643749 Emil D. Poporad, Dds Dentist 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 2014-09-30
1699198390 Lauri Sanders Social Worker 5860 Fulton Dr Nw, Canton, OH 44718 2014-01-31
1376893768 Courteney R Briceland Social Worker 4641 Fulton Rd. Nw, Canton, OH 44718 2012-09-13
1982953220 Lyudmyla Z Rockaway Marriage & Family Therapist 4895 Dressler Road Nw, Ste A, Canton, OH 44718 2012-08-31
Find all providers in zip 44718

Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063825370 Anton Zopel X Occupational Therapist 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 2014-06-04
1255609160 Danielle Elizabeth Terry Occupational Therapist 709 Crescent Cir, Canton, GA 30115-4772 2011-12-06
1679859094 Nathan Ellis Occupational Therapist 139 Outer State St. Rd, Canton, NY 13617 2011-10-31
1629532247 Megan Lorraine Mcphilemy Occupational Therapist 605 Neponset St, Canton, MA 02021-1981 2019-01-28
1508377359 Gina Khalid Occupational Therapist 340 Turnpike St, Canton, MA 02021-2700 2017-10-19
1740687425 Debra Shaw Occupational Therapist 3057 Cleveland Ave Sw, Canton, OH 44707-3625 2014-11-25
1801213392 Sarah Kolic Occupational Therapist 2100 38th St Nw, Canton, OH 44709-2312 2014-03-24
1891035580 Andrea Lindsay Lewis Occupational Therapist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115-6633 2013-02-18
1174868954 Marie Joan Degirolamo Occupational Therapist 500 Chapman St, Canton, MA 02021-2093 2012-12-04
1831475318 Paten Lane Willis Occupational Therapist 310 Paper Trail Way, Ste 302, Canton, GA 30115-5203 2011-10-27
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Competitor

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City CANTON
Zip Code 44718

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Dataset Information

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.

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