KELLIE TYSOR (NPI# 1508277591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508277591 |
| Entity Type | Individual |
| Full Name | KELLIE TYSOR |
| Practice Address |
334 Bar Harbor Road Pasadena MD 21122 |
| Practice Telephone | 4102183215 |
| Mailing Telephone | 4102183215 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 03101 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
334 BAR HARBOR ROAD |
| City | PASADENA |
| State | MD |
| Zip Code | 21122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| 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 |
|---|---|---|---|---|
| 1912542028 | Margaret Park | Occupational Therapist | 30 N Madison Ave Unit 223, Pasadena, CA 91101-4539 | 2019-11-12 |
| 1508425885 | Chantal Johanna Olenczuk | Occupational Therapist | 50 N Hill Ave Ste 302, Pasadena, CA 91106-1903 | 2019-06-10 |
| 1861961625 | Kaitlin Mari Kodani | Occupational Therapist | 407 S Oak Ave, Pasadena, CA 91107-5026 | 2018-11-21 |
| 1992274807 | Tiffany Gu | Occupational Therapist | 355 S Los Robles Ave Unit 338, Pasadena, CA 91101-3294 | 2018-11-20 |
| 1558837435 | Vincent Raymont Quinney | Occupational Therapist | 4006 Vista Rd, Pasadena, TX 77504-2112 | 2018-10-18 |
| 1376050633 | Michael Ang | Occupational Therapist | 500 N Rosemead Blvd Apt 30, Pasadena, CA 91107-2143 | 2018-01-08 |
| 1609326719 | Jillian Fader | Occupational Therapist | 1862 Cedar Rd, Pasadena, MD 21122-3802 | 2016-10-12 |
| 1811446537 | Sabrina Salgia | Occupational Therapist | 1735 Outpost Ln, Pasadena, CA 91107-1073 | 2016-09-22 |
| 1881067015 | Kimberly Broadie | Occupational Therapist | 8327 Sail Ct, Pasadena, MD 21122-4848 | 2015-11-10 |
| 1558754408 | Sara Mcfarland | Occupational Therapist | 358 Hickory Point Rd, Pasadena, MD 21122-5961 | 2015-03-16 |
| Find all providers in PASADENA | ||||
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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.