MS. KELLIE MARIE HEADRICK


Address: 924 S Commercial St, Harrisburg, IL 62946-2637
Phone: 6182527171

MS. KELLIE MARIE HEADRICK (NPI# 1538557145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538557145
Entity Type Individual
Full Name MS. KELLIE MARIE HEADRICK
Credential COTA/L
Practice Address 924 S Commercial St
Harrisburg
IL 62946-2637
Mailing Address 401 W Walnut St
Carrier Mills
IL 62917-1181
Practice Telephone 6182527171
Practice Fax Number 6182527272
Mailing Telephone 6185995621
Enumeration Date 2015-01-05
Last Update Date 2015-01-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 224Z00000X Occupational Therapy Assistant BOTOTA00210165 KY Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224Z00000X Occupational Therapy Assistant 057004130 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 924 S COMMERCIAL ST
City HARRISBURG
State IL
Zip Code 62946-2637

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184952301 Priscilla A. Hawkins Physical Therapy Assistant 924 S Commercial St, Harrisburg, IL 62946-2637 2009-11-29
1447659842 Jennifer Keller Physical Therapy Assistant 924 S Commercial St, Harrisburg, IL 62946-2637 2014-08-21
1649516741 Gail Elizabeth Dailey Physical Therapy Assistant 924 S Commercial St, Harrisburg, IL 62946-2637 2012-12-17
1477823607 Brooke E Lane Speech-Language Pathologist 924 S Commercial St, Harrisburg, IL 62946-2637 2012-01-04
1679877799 Mary E. York Physical Therapy Assistant 924 S Commercial St, Harrisburg, IL 62946-2637 2011-01-04
1447572193 April Roberts Physical Therapy Assistant 924 S Commercial St, Harrisburg, IL 62946-2637 2010-02-23
1750603809 Kendrea Faith Myers Massage Therapist 924 S Commercial St, Harrisburg, IL 62946-2637 2010-02-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770195117 Leslie Wheeler Pharmacist #4 Commercial Drive, Harrisburg, IL 62946 2020-08-18
1215337266 Prn Pharmacies Ltd Durable Medical Equipment & Medical Supplies 501 E. Sloan St., Harrisburg, IL 62946 2014-08-27
1316293855 Steward Chiropractic Center, LLC Chiropractor 608 Rollie Moore Dr., Suite 2, Harrisburg, IL 62946 2012-08-02
1558664664 Harrisburg Medical Center Inc Clinic/Center 183 W Lane St, Equality, IL 62946 2010-12-10
1588849178 Scarlett Annette Oyler Technician, Other 607 W Commercial Suite, Harrisburg, IL 62946 2008-01-02
1043427958 Debbie Oglesby Case Manager/Care Coordinator #22 Veterans Drive, Harrisburg, IL 62946 2007-05-17
1336272764 Coleman Tri-county Services, Inc. Community/Behavioral Health # 22 Veterans Drive, Harrisburg, IL 62946 2007-03-14
1437212081 Harris Frank LLC Skilled Nursing Facility Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 2006-12-18
1932269701 Leanne H Deneal Physician Assistant 28 Veteran's Drive, Harrisburg, IL 62946 2006-12-11
1881646990 Northland Hearing Centers, Inc. Hearing Instrument Specialist 20 Veterans Drive, Harrisburg, IL 62946 2006-05-17
Find all providers in zip 62946

Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134686421 Joanna Elizabeth Jacobs Occupational Therapy Assistant 7232 Rock Ridge Ave, Harrisburg, PA 17112-8107 2019-02-22
1427525427 Stephanie E Ortego Occupational Therapy Assistant 4121 Oak Hollow Ln, Harrisburg, NC 28075-6648 2018-10-28
1497208078 Kathryn Danielle Shatley Occupational Therapy Assistant 204 Catherine St, Harrisburg, AR 72432-1100 2016-07-29
1417327925 Jessica Hathaway Occupational Therapy Assistant 1325 W Longley St, Harrisburg, IL 62946-3267 2015-09-28
1578952180 Stephanie Yaruta Occupational Therapy Assistant 2150 King Arthurs Ct, Apartment A4, Harrisburg, PA 17110-3526 2015-01-20
1184873317 Billy G Smith Occupational Therapy Assistant 415 Garden Heights Rd, Harrisburg, IL 62946-5202 2008-09-11
1922283183 Joshua Travis Morris Occupational Therapy Assistant 419 W Church St, Harrisburg, IL 62946-1612 2008-01-07
1851842546 Allison Burdge Occupational Therapy Assistant 1901 N 5th St, Harrisburg, PA 17102-1510 2016-10-18
1801280987 Brett Casteel Occupational Therapy Assistant 102 E State St, Harrisburg, IL 62946-2720 2015-03-26
1245624469 Saralynn Black Occupational Therapy Assistant 600 Rutherford Rd, Harrisburg, PA 17109-5227 2015-03-25
Find all providers in HARRISBURG

Competitor

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City HARRISBURG
Zip Code 62946

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Dataset Information

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.

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