SARA SKIDMORE (NPI# 1407954209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407954209 |
| Entity Type | Individual |
| Full Name | SARA SKIDMORE |
| Practice Address |
2022 Phoenix Drive Sullivan MO 63080 |
| Mailing Address |
13537 Barrett Parkway Dr Suite 105 Ballwin MO 63021 |
| Practice Telephone | 6362399979 |
| Practice Fax Number | 6362395442 |
| Mailing Telephone | 3148219126 |
| Mailing Fax Number | 3148219142 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 004800 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PALMETTO GBA | P00422912 | 01 |
| Street Address |
2022 PHOENIX DRIVE |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| 1790205656 | Melissa Leigh Hildebrandt | Counselor | 101 Progress Pkwy, Sullivan, MO 63080 | 2017-06-22 |
| Find all providers in zip 63080 | ||||
| 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 |
|---|---|---|---|---|
| 1912256108 | Abby Schmidt | Occupational Therapist | 9254 N Hwy 185, Sullivan, MO 63080-3904 | 2012-09-03 |
| 1598881120 | Laura Marie Peregoy | Occupational Therapist | 1132 Elmont Rd, Sullivan Consolidated District No 2, Sullivan, MO 63080-1039 | 2007-03-22 |
| 1609344886 | Karlie Wilmesher | Occupational Therapist | 940 Mattox Dr, Sullivan, MO 63080-2364 | 2018-11-06 |
| 1437693934 | Anna Carr | Occupational Therapist | 126 W Springfield Rd, Sullivan, MO 63080-1524 | 2016-12-19 |
| 1467804161 | Mary Hulsey | Occupational Therapist | 126 W Springfield Rd, Sullivan, MO 63080-1524 | 2016-07-06 |
| 1114343712 | Deeann Boatright | Occupational Therapist | 505 W Wolfe St, Sullivan, IN 47882-9224 | 2014-03-07 |
| 1548577687 | Karen D Smikahl-biggs | Occupational Therapist | 104 W Washington St, Sullivan, MO 63080-1965 | 2010-09-10 |
| 1861600686 | Linda M Duggan | Occupational Therapist | 875 Dunsford Dr, Sullivan, MO 63080-1238 | 2007-05-18 |
| 1114044104 | Gena K Rasmussen | Occupational Therapist | 1132 Elmont Rd, Sullivan Consolidated District No 2, Sullivan, MO 63080-1039 | 2007-03-23 |
| 1366568990 | Kerri L Mills | Occupational Therapist | Sullivan Consolidated District No 2, 1132 Elmont Rd, Sullivan, MO 63080-1039 | 2007-03-22 |
| Find all providers in SULLIVAN | ||||
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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.