KATIE SURDAM (NPI# 1467904888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467904888 |
| Entity Type | Individual |
| Full Name | KATIE SURDAM |
| Practice Address |
5 Mallard Dr Newburgh NY 12550-8769 |
| Mailing Address |
22 Fleetwood Dr Wappingers Falls NY 12590-5317 |
| Practice Telephone | 8454761661 |
| Mailing Telephone | 8455902677 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 007797-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5 MALLARD DR |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-8769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121400 | Ot, Pt, Slp and Rn Pllc | Physical Therapist | 5 Mallard Dr, Newburgh, NY 12550-8769 | 2016-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| 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 |
|---|---|---|---|---|
| 1598327397 | Elizabeth Anne Esposito | Occupational Therapy Assistant | 3 Maywood Rd, Newburgh, NY 12550-2344 | 2019-07-01 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1164929733 | Anin Finell | Occupational Therapy Assistant | 70 Johnes St Apt 404, Newburgh, NY 12550-5672 | 2018-04-10 |
| 1801323860 | Melanie Ann Youldon | Occupational Therapy Assistant | 51 Henry Ave # 1, Newburgh, NY 12550-6306 | 2017-05-21 |
| 1922343441 | Sherry Ann Alvey Heldt | Occupational Therapy Assistant | 4907 Lincoln Pointe Dr, Newburgh, IN 47630-2023 | 2012-12-10 |
| 1063781581 | Calvin Brent Stevens | Occupational Therapy Assistant | 7588 Michael Ln, Newburgh, IN 47630-8002 | 2011-12-29 |
| 1396069589 | Nicole Irene Pollard | Occupational Therapy Assistant | 4255 Medwell Drive, Newburgh, IN 47630 | 2010-03-17 |
| 1013172089 | Patricia Smolinski | Occupational Therapy Assistant | 29 Coach Ln, Newburgh, NY 12550-3818 | 2008-07-18 |
| 1093335358 | Daniel Wilson | Occupational Therapy Assistant | 3800 Eli Pl, Newburgh, IN 47630-7436 | 2020-04-16 |
| 1093221525 | Ernest Nelson | Occupational Therapy Assistant | 17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 | 2017-12-20 |
| Find all providers in NEWBURGH | ||||
Please comment or provide details below to improve the information on KATIE SURDAM.
| 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.