MRS. KIMBERLY ANN CLYNE (NPI# 1467845461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467845461 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANN CLYNE |
| Credential | COTA |
| Practice Address |
100 Saratoga Village Blvd Suite35 Malta NY 12020-3737 |
| Practice Telephone | 5188999235 |
| Mailing Telephone | 5188999235 |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2015-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 004341 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770989170 | Kimberly A Clyne | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2014-11-12 |
| Street Address |
100 SARATOGA VILLAGE BLVD SUITE35 |
| City | MALTA |
| State | NY |
| Zip Code | 12020-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135609 | Ashlie S Beicke | Chiropractor | 100 Saratoga Village Blvd, Ste 33a, Malta, NY 12020-3751 | 2005-06-21 |
| 1982088043 | Rebecca Lusignan | Physical Therapist | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2015-07-17 |
| 1427474196 | Amy Hefley | Psychologist | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2014-03-05 |
| 1821334103 | Andrea Varecka | Specialist | 100 Saratoga Village Blvd, Ste 35, Malta, NY 12020-3737 | 2012-12-14 |
| 1023352820 | Aurdey Dumary | Specialist | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2012-11-16 |
| 1265785331 | Suzanne Gowen | Physical Therapist | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2012-10-26 |
| 1447502810 | Stacey Cornell | Specialist | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2012-10-10 |
| 1053662510 | Johnna Delevan | Specialist | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2012-09-25 |
| 1114277241 | Renee Kingsley | Specialist | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2012-09-17 |
| 1326300443 | Katelyn Romell | Specialist | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2012-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529415 | Peter Joseph Valastro Jr. | Registered Nurse | 2452 Us Rt 9 Suite 206, Malta, NY 12020 | 2020-02-11 |
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1528542255 | Mary Szacik | Social Worker | 2452 Us Rt. 9, Suite 206, Malta, NY 12020 | 2018-09-19 |
| 1669966867 | Adam Smatko | Social Worker | 2452 Us Route 9, Suite 206, Malta, NY 12020 | 2018-06-20 |
| 1538665104 | Tressa Frese | Counselor | 35 Bath Street, Ballston Spa, NY 12020 | 2018-04-03 |
| 1902312556 | Maltavista Optometry, Pllc | Optometrist | 2715 Rt 9, Suite 204, Malta, NY 12020 | 2017-12-19 |
| 1497207294 | Julie Lapham | Counselor | 100 Saratoga Village Blvd. Suite 26, Malta, NY 12020 | 2016-10-27 |
| 1932656527 | Matthew Kattell | Physical Therapist | 4102 Ellsworth Boulevard, Malta, NY 12020 | 2016-09-01 |
| 1295134740 | Nnenna Lindsay | Psychologist | 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 | 2014-08-21 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| Find all providers in zip 12020 | ||||
| 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 |
|---|---|---|---|---|
| 1811391816 | Victoria York | Occupational Therapy Assistant | 5005 W Poplar Ridge Rd Nw, Malta, OH 43758-9705 | 2014-10-20 |
| 1962747121 | Brenda Louise Junn | Occupational Therapy Assistant | 911 Echo St N, Malta, OH 43758-9379 | 2012-11-29 |
| 1962609107 | Dorothy Jean Slowter | Occupational Therapy Assistant | 2339 W Coler Rd Nw, Malta, OH 43758-9322 | 2007-06-29 |
| 1326348442 | Debra Robinson | Occupational Therapy Assistant | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2010-10-22 |
| 1447560032 | Julianne Ceci-lansing | Occupational Therapy Assistant | 100 Saratoga Village Blvd, Suite 35, Malta, NY 12020-3737 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466269 | Ashley Ann Alexander | Occupational Therapy Assistant | 1 E Palisades Ave, Nanuet, NY 10954-3345 | 2020-10-30 |
| 1811597891 | Esther Apter | Occupational Therapy Assistant | 56 Parker Blvd, Monsey, NY 10952-1440 | 2020-10-28 |
| 1932708443 | Kaylee Henriquez | Occupational Therapy Assistant | 8 Crown St, North Babylon, NY 11703-1803 | 2020-10-26 |
| 1619576337 | Dragonfly & Owl, LLC | Occupational Therapy Assistant | 1653 Ny-43, Averill Park, NY 12018 | 2020-10-23 |
| 1548869944 | Kristen Rose Schmidt | Occupational Therapy Assistant | 543 Wood Rd, Mahopac, NY 10541-3358 | 2020-10-19 |
| 1104423391 | Sviatlana Vialichka | Occupational Therapy Assistant | 8778 Bay Pkwy Fl 2, Brooklyn, NY 11214-5653 | 2020-10-01 |
| 1326652280 | Chantal Sendall | Occupational Therapy Assistant | 4377 Crescent Dr, Niagara Falls, NY 14305-1102 | 2020-09-08 |
| 1609489210 | Yearin Lim | Occupational Therapy Assistant | 770 James St Apt 705, Syracuse, NY 13203-2626 | 2020-08-25 |
| 1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
| 1497366520 | Bethany Lynn Fishman | Occupational Therapy Assistant | 4 Elm Ln, Greenville, NY 12083-1825 | 2020-08-12 |
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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.