MRS. KASSIDI MACEMORE JOHNSON (NPI# 1477900553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477900553 |
| Entity Type | Individual |
| Full Name | MRS. KASSIDI MACEMORE JOHNSON |
| Credential | COTA/L |
| Practice Address |
237 Mulberry St Shallotte NC 28470-4471 |
| Mailing Address |
298 Sand Piper Ln Holden Beach NC 28462-1961 |
| Practice Telephone | 3369183431 |
| Mailing Telephone | 3369183431 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 9249 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922481233 | Kassidi Johnson | Behavioral Analyst | 3301 Robinson Dr, Waco, TX 76706-4401 | 2015-07-06 |
| Street Address |
237 MULBERRY ST |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470-4471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226040 | Autumn Corporation | Skilled Nursing Facility | 237 Mulberry St, Shallotte, NC 28470-4471 | 2005-12-15 |
| 1053874545 | Elizabeth L Thompson | Speech-Language Pathologist | 237 Mulberry St, Shallotte, NC 28470-4471 | 2019-04-11 |
| 1831659234 | William Seth Perry | Physical Medicine & Rehabilitation | 237 Mulberry St, Shallotte, NC 28470-4471 | 2019-03-21 |
| 1588123293 | Channing Dyson | Physical Therapist | 237 Mulberry St, Shallotte, NC 28470-4471 | 2019-03-13 |
| 1275049173 | Lynda Keeter Fletcher | Physical Therapist | 237 Mulberry St, Shallotte, NC 28470-4471 | 2017-12-14 |
| 1083127112 | Julia Paige Gupton | Occupational Therapy Assistant | 237 Mulberry St, Shallotte, NC 28470-4471 | 2017-11-11 |
| 1982114526 | Jessica Ledesma | Occupational Therapy Assistant | 237 Mulberry St, Shallotte, NC 28470-4471 | 2017-10-10 |
| 1528239878 | Autumn Corporation | Nursing Facility/Intermediate Care Facility | 237 Mulberry St, Shallotte, NC 28470-4471 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609336981 | Open Gate Counseling Services Pllc | Counselor | 117 Holden Beach Rd Sw, Suite 109a, Shallotte, NC 28470 | 2019-03-22 |
| 1689188286 | Justice Pharmacy,inc | Pharmacy | 301 S Willis Dr, #112, Shallotte, NC 28470 | 2017-11-20 |
| 1609224914 | Emergeortho, Pa | Orthopaedic Surgery | 5160 Ocean Highway West, Shallotte, NC 28470 | 2016-05-26 |
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1265741128 | Janet Rhyne Martin | Speech-Language Pathologist | 4902 Main Street, Suite D, Shallotte, NC 28470 | 2010-09-27 |
| 1225261555 | Jason Keeley Riemann | Chiropractor | 4911 Bridgers Rd, Shallotte, NC 28470 | 2009-09-03 |
| 1215108972 | Frederick A. Williams,dmd, Pa | Dentist | 343 Whiteville Road, Shallotte, NC 28470 | 2008-03-20 |
| 1053599316 | Brian Salvatore Lank | Chiropractor | 728 Village Rd, Sw, Shallotte, NC 28470 | 2008-02-08 |
| 1356539795 | Life Changers Intervention Services LLC | Community/Behavioral Health | 5039 Main St Suite 2, Shallotte, NC 28470 | 2007-10-10 |
| 1235267766 | Edmond Cochard | Psychologist | 120 Coastal Horizons Drive, Shalotte, NC 28470 | 2007-02-28 |
| Find all providers in zip 28470 | ||||
| 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 |
|---|---|---|---|---|
| 1326354135 | Taylo Arlyn Weschler | Occupational Therapy Assistant | 575 Highlands Glen Dr, Shallotte, NC 28470-4530 | 2010-08-31 |
| 1083127112 | Julia Paige Gupton | Occupational Therapy Assistant | 237 Mulberry St, Shallotte, NC 28470-4471 | 2017-11-11 |
| 1982114526 | Jessica Ledesma | Occupational Therapy Assistant | 237 Mulberry St, Shallotte, NC 28470-4471 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1326652611 | Chelsea Stone | Occupational Therapy Assistant | 2036 Quill Ct, Kannapolis, NC 28083-6298 | 2020-09-03 |
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1386266583 | Corie Roberson | Occupational Therapy Assistant | 955 Spring Forest Rd Apt 2, Greenville, NC 27834-4976 | 2020-05-11 |
| 1265052328 | Vipavee Bartorillo | Occupational Therapy Assistant | 5309 Patuxent Dr, Raleigh, NC 27616-6568 | 2020-04-19 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1912539768 | Crystal Mikhail Yvonnie Harris | Occupational Therapy Assistant | 851 S Beckford Dr Ste Beckford, Henderson, NC 27536-5910 | 2020-02-10 |
| 1073143343 | Eastern Therapy Solutions, Pllc | Occupational Therapy Assistant | 3132 Chesswood Ln, Winterville, NC 28590-7992 | 2020-01-24 |
| 1710517578 | Leslie H Hutcherson | Occupational Therapy Assistant | 2560 Willard Rd # 5740, Winston Salem, NC 27107-5543 | 2020-01-21 |
| 1841820826 | Hannah Broome Abbott | Occupational Therapy Assistant | 2092 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4038 | 2020-01-18 |
| Find all providers with the same taxonomy | ||||
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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.