KIM STUCKEY (NPI# 1497958714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497958714 |
| Entity Type | Individual |
| Full Name | KIM STUCKEY |
| Credential | OCCUPATIONAL THERAPI |
| Practice Address |
830 Washington St Samaritan Medical Center Watertown NY 13601-4034 |
| Practice Telephone | 9712065140 |
| Practice Fax Number | 9712065209 |
| Mailing Telephone | 3157854088 |
| Mailing Fax Number | 3157864847 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2013-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1072176 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OMAP | 574806 | 01 |
| Street Address |
830 WASHINGTON ST SAMARITAN MEDICAL CENTER |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597724 | Doris Elaine Grimes | Specialist | 830 Washington St, Watertown, NY 13601-4034 | 2005-06-09 |
| 1386245033 | Sheryl Lynn Abbott | Physician Assistant | 830 Washington St, Watertown, NY 13601-4099 | 2020-11-07 |
| 1730718958 | Shanmukha Swetha Perabattula | Student in an Organized Health Care Education/Training Program | 830 Washington St, Watertown, NY 13601-4099 | 2020-04-08 |
| 1427687771 | Farah Wani | Student in an Organized Health Care Education/Training Program | 830 Washington St, Watertown, NY 13601-4099 | 2020-04-07 |
| 1396383170 | Kaitlin Effie Clark | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-12 |
| 1730727546 | Brittany Rose Lothrop | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-12 |
| 1598303430 | Jeremy Tarwater | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-11 |
| 1609425081 | Heather D Seldat | Nurse Practitioner | 830 Washington St, Watertown, NY 13601-4034 | 2019-09-09 |
| 1649835679 | Timothy Schwarz | Student in an Organized Health Care Education/Training Program | 830 Washington St, Watertown, NY 13601-4099 | 2019-05-06 |
| 1609338201 | Danielle Kealy | Speech-Language Pathologist | 830 Washington St, Watertown, NY 13601-4034 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089163 | Progressive Therapy LLC | Occupational Therapist | 1027 2nd St Nw, Watertown, SD 57201-1301 | 2020-10-08 |
| 1275191645 | Calicia Jean Moss | Occupational Therapist | 6157 Greenvale Rd, Watertown, TN 37184-3812 | 2019-05-31 |
| 1992282859 | Alyssa Nicole Tripi | Occupational Therapist | 123 Hospital Dr Ste 1008, Watertown, WI 53098-3320 | 2018-07-24 |
| 1730622390 | Allison Blake | Occupational Therapist | 319 Lovley Dr, Watertown, CT 06795-3162 | 2016-11-29 |
| 1548711542 | Marnie Hoftiezer | Occupational Therapist | 601 11th St Ne, Watertown, SD 57201-1833 | 2016-10-14 |
| 1184086076 | Lauren Willcox | Occupational Therapist | 200 Lewis Ave S Ste 210, Watertown, MN 55388-4547 | 2016-03-22 |
| 1093104812 | Lisa D Cooley | Occupational Therapist | 20104 Ny State Rte 3, Watertown, NY 13601-5560 | 2015-01-16 |
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1376895292 | Jeanie Marie Stockland | Occupational Therapist | 531 7th St Ne, Watertown, SD 57201-1848 | 2012-10-03 |
| 1881940120 | Kimberly Keegan | Occupational Therapist | 340 Bryant Rd, Watertown, CT 06795-1119 | 2012-07-24 |
| Find all providers in WATERTOWN | ||||
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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.