JAN S KEITH (NPI# 1417003161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417003161 |
| Entity Type | Individual |
| Full Name | JAN S KEITH |
| Credential | COTA |
| Practice Address |
90 Ethete Road Fort Washakie WY 82514 |
| Mailing Address |
525 Country Club Dr Riverton WY 82501-6228 |
| Practice Telephone | 3073326516 |
| Practice Fax Number | 3073329116 |
| Mailing Telephone | 3078572858 |
| Enumeration Date | 2007-01-26 |
| 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 | 216 | WY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
90 ETHETE ROAD |
| City | FORT WASHAKIE |
| State | WY |
| Zip Code | 82514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104152388 | Early Intervention Program | Day Training, Developmentally Disabled Services | 90 Ethete Road, Fort Washakie, WY 82514 | 2009-10-23 |
| 1003020744 | Dehning Jo Dehning | Physical Therapist | 90 Ethete Road, Fort Washakie, WY 82514 | 2007-05-10 |
| 1558425207 | Shoshone Tribe Early Intervention Program | Local Education Agency (LEA) | 90 Ethete Road, Fort Washakie, WY 82514-0610 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527819 | Melissa Rose Pine | Registered Nurse | 29 Blackcole Road, Fort Washakie, WY 82514 | 2019-09-19 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
| 1033553185 | Pauline Elizabeth Powers-peprah | Family Medicine | 29 Black Cole, Fort Washakie, WY 82514 | 2013-04-19 |
| 1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
| 1770898140 | Kelly Lynne Pretty Weasel | Clinic/Center | 29 Blackcole Dr, Fort Washakie, WY 82514 | 2010-08-10 |
| 1285950170 | Debra Kay Waters | Technician, Pathology | Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 | 2010-04-16 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1922339449 | Nina Williams | Spec/Tech, Pathology | Black Coal Rd Bldg 29, Ft Washakie, WY 82514 | 2010-01-22 |
| Find all providers in zip 82514 | ||||
| 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 |
|---|---|---|---|---|
| 1588806855 | Deana Lin Gudmundsen | Occupational Therapy Assistant | 4 North Fork Road, Fort Washakie, WY 82514 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1841849759 | Lindsey S Jacks | Occupational Therapy Assistant | 1200 E 21st St, Cheyenne, WY 82001-3951 | 2019-09-04 |
| 1538674247 | Bridget Garlington | Occupational Therapy Assistant | 1801 Edinburgh St, Rawlins, WY 82301-4624 | 2017-12-05 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1265863997 | Candice Morrow | Occupational Therapy Assistant | 1507 Converse Ave, Cheyenne, WY 82001-5301 | 2013-12-05 |
| 1457788127 | Independent Opportunities,llc | Occupational Therapy Assistant | 111 S Jefferson St Ste 100, Casper, WY 82601-2665 | 2013-09-26 |
| 1245678200 | Kathryn P Wagner | Occupational Therapy Assistant | 1567 Westview Ct, Laramie, WY 82070-6081 | 2013-06-11 |
| 1942546684 | James Alvin Pavey | Occupational Therapy Assistant | 1022 Adams St, Douglas, WY 82633-2818 | 2012-12-28 |
| 1770810467 | Debra J Holden | Occupational Therapy Assistant | 343 Hynds Ave, Cheyenne, WY 82007-1154 | 2009-11-17 |
| 1174753719 | Stacy Jo Hanson | Occupational Therapy Assistant | 5002 Sherman Hill Rd Apt B, Laramie, WY 82070-5339 | 2009-07-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHAKIE |
| Zip Code | 82514 |
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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.