KELLY MCCOLLUM (NPI# 1447783816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447783816 |
| Entity Type | Individual |
| Full Name | KELLY MCCOLLUM |
| Credential | MSOTR/L |
| Practice Address |
7506 Covington Hollow Ln Fort Wayne IN 46804-6152 |
| Practice Telephone | 4059198142 |
| Mailing Telephone | 4059198142 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OT1754 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 124 E Sheridan Ave, Kingfisher, OK 737503217 | 4059198142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174602395 | Kelly Mccollum | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2006-11-06 |
| Street Address |
7506 COVINGTON HOLLOW LN |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| 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:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477868651 | Lisa Ann Gibson | Occupational Therapist | 1200 Barr St, Fort Wayne, IN 46802-3502 | 2010-08-12 |
| 1003432915 | Holly Guenther | Occupational Therapist | 3439 Hobson Rd, Fort Wayne, IN 46805-1617 | 2020-06-17 |
| 1982265385 | Brittany Ormiston | Occupational Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2019-06-26 |
| 1346735743 | Caitlin Demuth | Occupational Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2018-06-27 |
| 1306386628 | Jessica Wills | Occupational Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2017-03-06 |
| 1205385572 | Anne Green | Occupational Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2016-09-28 |
| 1508311705 | Tracey Leigh Crews | Occupational Therapist | 4422 East State Boulevard, Fort Wayne, IN 46815-6917 | 2016-08-18 |
| 1679930549 | Chelsea Elder | Occupational Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 | 2016-01-24 |
| 1942698220 | Alexis Richardson | Occupational Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2015-01-08 |
| 1265833446 | Lindsey Schelfo | Occupational Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2014-09-08 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.