KENNA J SMICKER (NPI# 1548683287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548683287 |
| Entity Type | Individual |
| Full Name | KENNA J SMICKER |
| Credential | COTA/L |
| Practice Address |
1601 Butterfield Trl Kankakee IL 60901-2959 |
| Practice Telephone | 8159366500 |
| Mailing Telephone | 8159366500 |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057.003840 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1601 BUTTERFIELD TRL |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-2959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174603377 | Riverside Senior Living Center | Skilled Nursing Facility | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2006-10-16 |
| 1033761747 | Tamela Deschand | Occupational Therapist | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2019-07-12 |
| 1962054080 | Christine Ann Woytek | Occupational Therapist | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2019-07-09 |
| 1255805412 | John Wetstein | Physical Therapist | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2019-01-21 |
| 1144791385 | Danielle Nicole Merkle | Occupational Therapist | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2018-12-16 |
| 1164991501 | John Andrew Olson | Physical Therapist | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2018-11-15 |
| 1932689320 | Amanda Jean Gaikwad | Physical Therapist | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2018-08-15 |
| 1982192803 | Angel Chapital | Occupational Therapy Assistant | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2018-04-26 |
| 1609314582 | Alicia Guttendorf | Physical Therapy Assistant | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2017-02-10 |
| 1437696556 | Tiffany Cowger | Physical Therapy Assistant | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2017-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| 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 |
|---|---|---|---|---|
| 1982192803 | Angel Chapital | Occupational Therapy Assistant | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2018-04-26 |
| 1003277757 | Michael G Todd | Occupational Therapy Assistant | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2016-03-09 |
| 1144561838 | Melissa Kay Harms | Occupational Therapy Assistant | 350 N Wall St, Kankakee, IL 60901-2901 | 2013-03-06 |
| 1508107285 | Charlene Pavesich | Occupational Therapy Assistant | 350 N Wall St, Kankakee, IL 60901-2901 | 2013-03-06 |
| 1205113933 | Beth Susan Finks | Occupational Therapy Assistant | 1601 Butterfield Trail, Kankakee, IL 60901 | 2011-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940886 | Kathleen Pumo | Occupational Therapy Assistant | 300 W 22nd St, Lombard, IL 60148-5417 | 2020-10-26 |
| 1093314593 | Melissa Eileen Suermann | Occupational Therapy Assistant | 300 S Station Rd, Glen Carbon, IL 62034-2739 | 2020-10-26 |
| 1265049746 | Lauren Bryant | Occupational Therapy Assistant | 17042 Wausau Ave, South Holland, IL 60473-3352 | 2020-09-28 |
| 1992312631 | Agnieszka Wanda Bis | Occupational Therapy Assistant | 110 W Schaumburg Rd, Streamwood, IL 60107-1459 | 2020-09-27 |
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1326651894 | Laverne Reese | Occupational Therapy Assistant | 150 S Durkin Dr Apt, Springfield, IL 62704-1151 | 2020-08-25 |
| 1326650235 | Cheryl Annette Perrilles | Occupational Therapy Assistant | 5124 S Alaska Rd, Peoria, IL 61607-9541 | 2020-08-21 |
| 1003426487 | Allyx Underwood | Occupational Therapy Assistant | 111 S Homer St, Princeton, IL 61356-1850 | 2020-07-31 |
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1508483991 | Latika Kemp | Occupational Therapy Assistant | 7246 S. King Dr., Chicago, IL 60619-1726 | 2020-07-01 |
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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.