KATHLEEN ELLIS (NPI# 1528265014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528265014 |
| Entity Type | Individual |
| Full Name | KATHLEEN ELLIS |
| Practice Address |
210 W Lacrosse Ave Coeur D Alene ID 83814-2403 |
| Mailing Address |
3856 S Brentwood Ln Coeur D Alene ID 83814-7337 |
| Practice Telephone | 2086642185 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT 404 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679902316 | Kathleen Ellis | Counselor | 65 Roselund Hill Rd, Uncasville, CT 06382-2115 | 2013-11-04 |
| 1982143350 | Kathleen Ellis | Counselor | 5424 Rufe Snow Dr, Ste 304, North Richland Hills, TX 76180-6684 | 2017-02-18 |
| 1346685575 | Kathleen Marie Ellis | Nursing Facility/Intermediate Care Facility | 512 Beach St, Fenton, MI 48430-3122 | 2013-05-01 |
| 1003036070 | Kathleen Michelle Ellis | Physical Therapist | 178 Grandview Dr, Cobleskill, NY 12043-5144 | 2007-05-01 |
| 1073643169 | Kathleen Sue Ellis | Physical Therapist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2007-03-07 |
| Street Address |
210 W LACROSSE AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003982927 | Lacrosse Health- Coeur D'alene, LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2006-11-24 |
| 1992218218 | Lacrosse Health-coeur Dalene LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2017-11-08 |
| 1992166870 | Stephanie Lynn Thorne | Physical Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2016-03-18 |
| 1811385974 | Fmg West Lacrosse Avenue Idaho LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-12-24 |
| 1609272012 | Travis Pool | Physical Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-11-12 |
| 1407261332 | Jimmy Louis Burkhard | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-06-30 |
| 1396167193 | Sharon Bartlett | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-01-13 |
| 1609207513 | Lee Freshour | Speech-Language Pathologist | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-12-02 |
| 1407285174 | Cheryl Davee | Physical Therapist | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-11-04 |
| 1942638903 | Frances Geckle | Physical Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1548882624 | Harmony Health Occupational Therapy and Wellness, LLC | Occupational Therapist | 2775 N Howard St Ste C, Coeur D Alene, ID 83815-8170 | 2020-05-12 |
| 1457789612 | Nola Francine Macaskill | Occupational Therapist | 704 W Empire Ave, Coeur D Alene, ID 83814-2105 | 2013-10-28 |
| 1467710954 | Lindsey Catherine Casper | Occupational Therapist | 1425 S High Ranch Rd, Coeur D Alene, ID 83814-1417 | 2012-05-02 |
| 1356414981 | Robin Elizabeth Bradbury Vanhouten | Occupational Therapist | 1013 E Coeur Dalene Ave, Coeur D Alene, ID 83814-4121 | 2006-11-15 |
| 1205444619 | Jessica Nicole Reishus | Occupational Therapist | 411 W Haycraft Ave Ste D1, Coeur D Alene, ID 83815-8104 | 2020-07-22 |
| 1396379236 | Casper Enterprises Incorporated | Occupational Therapist | 1425 S High Ranch Rd, Coeur D Alene, ID 83814-1417 | 2020-03-01 |
| 1700362662 | Kristen Nicole Keeton | Occupational Therapist | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2018-07-13 |
| 1184002750 | Megan Marney | Occupational Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2015-05-14 |
| 1326453184 | Abigail Mcwilliams | Occupational Therapist | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2014-06-30 |
| 1336554088 | Meghan Sanborn | Occupational Therapist | 1013 E Coeur Dalene Ave, Coeur D Alene, ID 83814-4121 | 2014-06-20 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.