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