PAUL BARLOG (NPI# 1467791434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467791434 |
| Entity Type | Individual |
| Full Name | PAUL BARLOG |
| Practice Address |
2900 Delaware Ave Kenmore NY 14217-2309 |
| Practice Telephone | 7168719883 |
| Practice Fax Number | 7168719887 |
| Mailing Telephone | 7168719883 |
| Mailing Fax Number | 7168719887 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 000053-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2900 DELAWARE AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144282385 | Tina Marie Degeorge | Physical Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2006-04-04 |
| 1235740879 | Yee Ting Siu | Audiologist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-08-16 |
| 1245853951 | Taylor M Wagner | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-05-28 |
| 1114540135 | Eric M Mandel | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-05-26 |
| 1417576547 | Diversified Services for Occupational Therapy, Physical Therapy, Speec | Physical Medicine & Rehabilitation | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-04-09 |
| 1275166316 | Christina Marie Kurtz | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-18 |
| 1518590868 | Michelle Murphy | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-14 |
| 1679105472 | Katherine Elizabeth Calogero | Physical Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-10 |
| 1639701824 | Phoebe Gillis Buscaglia | Occupational Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-06 |
| 1083246276 | Amanda Ziomek | Occupational Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
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| 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 |
|---|---|---|---|---|
| 1124501507 | Amanda Gail Babcock | Occupational Therapy Assistant | 353 Kinsey Ave, Kenmore, NY 14217-1816 | 2018-09-11 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1891093092 | Colleen Ann Neumann | Occupational Therapy Assistant | 30 Fowler Ave, Kenmore, NY 14217-1502 | 2011-03-11 |
| 1437342599 | Richard Brian Dickman | Occupational Therapy Assistant | 143 Tremaine Ave, Kenmore, NY 14217-2617 | 2007-08-22 |
| 1114430261 | Breanna Eyermann | Occupational Therapy Assistant | 283 Washington Ave, Kenmore, NY 14217-1804 | 2017-11-13 |
| 1730619966 | Katrina Lynn | Occupational Therapy Assistant | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2017-06-20 |
| 1124486105 | Christine Jedd | Occupational Therapy Assistant | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2016-02-04 |
| 1629434105 | Rachel Ahlbin | Occupational Therapy Assistant | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2016-01-13 |
| 1841660875 | Eleanor Henderson | Occupational Therapy Assistant | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2015-10-02 |
| 1396188603 | Carol E Knauer | Occupational Therapy Assistant | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2013-04-17 |
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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.