KATHLEEN M SHANOVICH (NPI# 1467935379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467935379 |
| Entity Type | Individual |
| Full Name | KATHLEEN M SHANOVICH |
| Credential | OTR/L |
| Practice Address |
2927 S Fish Hatchery Rd Fitchburg WI 53711-6498 |
| Practice Telephone | 6088196394 |
| Mailing Telephone | 6088196394 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
6358-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760459929 | Kathleen K Shanovich | Nurse Practitioner | 600 Highland Ave, Madison, WI 53792 | 2006-03-07 |
| Street Address |
2927 S FISH HATCHERY RD |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711-6498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404374 | Marissa J Chiang | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2006-10-23 |
| 1235730334 | Haley Noel Moshier | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-11-04 |
| 1861099624 | Kelsey Conway | Physical Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-10-05 |
| 1649877713 | Jennifer Johnson | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-10-02 |
| 1427663541 | Shannon Kant | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1336754464 | Katie Campbell | Occupational Therapy Assistant | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1194330134 | Olivia Ann Schorr | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-15 |
| 1780298067 | Asha Fredrick | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-09-03 |
| 1891307401 | Taylor Wienkes | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-08-17 |
| 1225660665 | Natalie Laura Shirk | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2020-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| 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:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356711162 | Laura Boggio | Occupational Therapist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2015-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841819026 | Christina Ishaq | Occupational Therapist | 1217 E Manitoba St, Milwaukee, WI 53207-2448 | 2020-04-08 |
| 1083248447 | Bethany Lyn Weberpal | Occupational Therapist | 200 W Milwaukee St, Janesville, WI 53548-2916 | 2020-02-25 |
| 1164921870 | Moving Parts Therapy LLC | Occupational Therapist | W5669 County Road Kk Ste E, Appleton, WI 54915-9398 | 2018-02-08 |
| 1245744572 | Diane E Killen | Occupational Therapist | N3219 County Road H, Lake Geneva, WI 53147-1074 | 2017-11-22 |
| 1871003418 | Heidi Jennifer Adriansen | Occupational Therapist | 4115 N Stowell Ave, Shorewood, WI 53211-1743 | 2017-10-10 |
| 1255841979 | Michelle Silverman | Occupational Therapist | 9222 N Regent Rd, Bayside, WI 53217-1364 | 2017-10-08 |
| 1174040893 | Mary K Sahr | Occupational Therapist | 805 Hewitt St, Neenah, WI 54956-2838 | 2017-08-23 |
| 1023484714 | Ka Yang | Occupational Therapist | 4530 N 74th St, Milwaukee, WI 53218-5430 | 2015-08-17 |
| 1295147536 | Angela Gille | Occupational Therapist | 3595 Wynter Ln, Madison, WI 53718-6357 | 2014-05-21 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
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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.