SHANNON LEE JEAN KRYSKI (NPI# 1518502855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518502855 |
| Entity Type | Individual |
| Full Name | SHANNON LEE JEAN KRYSKI |
| Credential | COTA/L |
| Practice Address |
4851 Tincher Rd Indianapolis IN 46221-3780 |
| Mailing Address |
10849 Davis Way Fishers IN 46038-2285 |
| Practice Telephone | 3178564851 |
| Mailing Telephone | 5742171779 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32002562A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4851 TINCHER RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46221-3780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144253451 | Adams County Memorial Hospital | Skilled Nursing Facility | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2006-07-09 |
| 1265039184 | Lucero Poindexter | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2020-10-04 |
| 1720693385 | Luke B Rischar | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2020-09-10 |
| 1902452378 | Natalie Jane Varvel | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2019-08-12 |
| 1649835018 | Kamryn Marie Jones | Occupational Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2019-05-01 |
| 1770060519 | Julie Alyssa Potts | Occupational Therapist | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2018-07-24 |
| 1417467887 | Laura Beth Messmer | Occupational Therapist | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2017-10-11 |
| 1386010825 | Angela Barronton | Speech-Language Pathologist | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2015-08-19 |
| 1891197737 | Manisha Patel | Respiratory Therapist, Registered | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2014-09-23 |
| 1437494705 | Rose Ann Lawson | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221-3780 | 2012-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598957474 | Kim M Malicoat | Occupational Therapy Assistant | 5019 Emmert Drive, Indianapolis, IN 46221 | 2007-08-14 |
| 1811066715 | Sarah A Wilson | Dentist | 3715 Kentucky Av, Suite B, Indianapolis, IN 46221 | 2006-11-06 |
| 1619074812 | Clarence H Thomas Md LLC | Family Medicine | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-09-20 |
| 1356326763 | Clarence Henry Thomas | Family Medicine | 6021 Kentucky Ave, Indianapolis, IN 46221 | 2005-12-08 |
| 1215019401 | Carol June Kauffman | Nurse Practitioner | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-10-19 |
| 1922096734 | William Vanosdol | Pediatrics | 2202 W Morris St, Indianapolis, IN 46221-1404 | 2005-10-06 |
| 1447644638 | Peter Rentsch | Specialist/Technologist | 1336 Shepard St, Indianapolis, IN 46221-1528 | 2015-03-25 |
| 1881681682 | Kathleen Anne Cohenour | Internal Medicine | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2005-10-05 |
| 1053956987 | Tracy L Morrison | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2019-11-14 |
| 1922544584 | Lori S. Fishburn | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2017-01-06 |
| Find all providers in zip 46221 | ||||
| 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 |
|---|---|---|---|---|
| 1164056016 | Amy Elizabeth Shreve | Occupational Therapy Assistant | 6434 E Raymond St, Indianapolis, IN 46203-5053 | 2020-03-01 |
| 1720554785 | Laurie Ann Rotramel | Occupational Therapy Assistant | 916 Burbank Rd, Indianapolis, IN 46219-5023 | 2018-10-17 |
| 1841656014 | Whitley Pruitt | Occupational Therapy Assistant | 7908 Carlton Arms Rd, Indianapolis, IN 46256-2807 | 2016-01-04 |
| 1144602327 | Angel Mcneal | Occupational Therapy Assistant | 8034 E 36th Pl, Indianapolis, IN 46226-5938 | 2015-06-24 |
| 1114338423 | April Edmonds | Occupational Therapy Assistant | 3550 N Kenwood Ave, Indianapolis, IN 46208-4423 | 2014-05-09 |
| 1528484607 | Jennifer Beason | Occupational Therapy Assistant | 622 E 56th St, Indianapolis, IN 46220-3134 | 2014-03-12 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1083055065 | Sugar Harshaw | Occupational Therapy Assistant | 4438 N Kenmore Rd, Indianapolis, IN 46226-3524 | 2013-07-08 |
| 1538409388 | Brenda J Gibbs Golder | Occupational Therapy Assistant | 10515 Hermosa Dr, Indianapolis, IN 46236-8162 | 2013-02-14 |
| 1316208010 | Herbert Pierre Weatherford Jr. | Occupational Therapy Assistant | 12332 Teacup Way, Indianapolis, IN 46235-6128 | 2012-05-30 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46221 |
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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.