KELLY PRUETT (NPI# 1467662825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467662825 |
| Entity Type | Individual |
| Full Name | KELLY PRUETT |
| Credential | OTRL |
| Practice Address |
6200 Whipple Ave Nw North Canton OH 44720-7624 |
| Mailing Address |
4167 Georgia St Nw Massillon OH 44646-3266 |
| Practice Telephone | 3309668614 |
| Mailing Telephone | 3304772968 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT002478 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OT 002478 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336217900 | Kelly D Pruett | Nurse Practitioner | 613 N 2nd St, Rogers, AR 72756-6611 | 2006-12-01 |
| Street Address |
6200 WHIPPLE AVE NW |
| City | NORTH CANTON |
| State | OH |
| Zip Code | 44720-7624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883564 | Robert Vincent Stone | Nurse Practitioner | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2020-05-26 |
| 1417453457 | Dana Lee Burton | Physical Therapist | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2018-03-30 |
| 1538667654 | Nicholas Anthony Dimauro | Nurse Practitioner | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2018-01-23 |
| 1871879270 | Shannon Colleen Quinn | Physician Assistant | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2011-10-29 |
| 1801037452 | Michael Valentino | Physician Assistant | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2009-03-11 |
| 1740491570 | Cynthia Sue Collins | Physical Therapy Assistant | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2007-05-24 |
| 1750591046 | Christine Mary Kramer | Speech-Language Pathologist | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2007-05-23 |
| 1356551675 | Sandra K Teis | Occupational Therapy Assistant | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2007-05-23 |
| 1336359298 | Melissa Anne Scheibe | Occupational Therapist | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2007-05-22 |
| 1851509988 | Lesa Jenkins | Occupational Therapist | 6200 Whipple Ave Nw, North Canton, OH 44720-7624 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
| 1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
| 1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
| 1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
| 1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
| 1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
| 1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
| 1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
| Find all providers in zip 44720 | ||||
| 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 |
|---|---|---|---|---|
| 1497114771 | Jeannette Hart | Occupational Therapist | 214 Walsh Ave Se, North Canton, OH 44720-3356 | 2016-02-16 |
| 1265050991 | Wayne Kline | Occupational Therapist | 6057 Strip Ave Nw, North Canton, OH 44720-9207 | 2020-07-09 |
| 1548893373 | Seth Wieland | Occupational Therapist | 6057 Strip Ave Nw, North Canton, OH 44720-9207 | 2020-02-20 |
| 1679111959 | Chad Eric Meyers | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2019-12-17 |
| 1649823949 | Joseph D Cessar | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2019-07-17 |
| 1811559404 | Katherine T Flaherty | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2019-07-03 |
| 1366003964 | Lauren A Musleve | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2019-06-25 |
| 1154883536 | Sarah Cooper | Occupational Therapist | 6057 Strip Ave Nw, North Canton, OH 44720-9207 | 2019-04-03 |
| 1396203220 | Jeffrey S Keller | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2019-03-11 |
| 1740746213 | Halle M Stolarsky | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2019-02-20 |
| Find all providers in NORTH CANTON | ||||
| City | NORTH CANTON |
| Zip Code | 44720 |
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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.