CHONKO OCCUPATIONAL THERAPY, LLC (NPI# 1578798765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578798765 |
| Entity Type | Organization |
| Organization Name | CHONKO OCCUPATIONAL THERAPY, LLC |
| Other Organization Name | KID O'THERAPY,LLC |
| Practice Address |
41 Main St Topsham ME 04086-1285 |
| Practice Telephone | 2078448287 |
| Practice Fax Number | 2078448245 |
| Mailing Telephone | 2078411560 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | MRS. KIMBERLY E CHONKO (OWNER/OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 2078411560 |
| Authorized Official Credential | MSOTR/L |
| Is Organization Subpart | Y |
| Parent Organization Name | CHONKO OCCUPATIONAL THERAPY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
OT1416 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 43337500 | 05 |
| Other Name | Type Code |
|---|---|
| Kid O'Therapy,LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 646 Lewiston Rd, Topsham, ME 040866143 | 2078411560 |
| Street Address |
41 MAIN ST |
| City | TOPSHAM |
| State | ME |
| Zip Code | 04086-1285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140111 | Brittnie Fredenburg | Occupational Therapist | 41 Main St, Topsham, ME 04086-1285 | 2020-10-05 |
| 1053938985 | Jason Carlton Berry | Physical Therapy Assistant | 41 Main St, Topsham, ME 04086-1285 | 2020-06-26 |
| 1396953121 | Kimberly E. Chonko | Specialist | 41 Main St, Topsham, ME 04086-1285 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196040 | Martha Densmore | Registered Nurse | 49 Topsham Fair Mall Rd., Topsham, ME 04086 | 2020-08-26 |
| 1972156727 | Wanho Lew | Dentist | 127 Topsham Fail Mall Rd., Topsham, ME 04086 | 2019-07-22 |
| 1326510595 | Apex Residential Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 196 Meadow Cross Rd, Topsham, ME 04086 | 2018-12-27 |
| 1891143681 | Kai N Cheng | Physician Assistant | 105 Topsham Fair Mall Rd Ste 8, Topsham, ME 04086 | 2016-06-02 |
| 1487028775 | Reform Physical Therapy, Inc | Physical Therapist | 439 Lewiston Rd, Topsham, ME 04086 | 2015-11-24 |
| 1457773301 | Kelly Fritz | Physical Therapist | 126 Main St Ste 3, Topsham, ME 04086 | 2014-01-13 |
| 1831493964 | Diane Lamere-wallace | Occupational Therapist | 19 Perkins Avenue, Topsham, ME 04086 | 2011-01-04 |
| 1376702597 | Julia Sullivan Cabral | Social Worker | 63 Elm Street, Ste B, Topsham, ME 04086 | 2008-06-03 |
| 1285830554 | Brian Roger Haney | Internal Medicine | 105 Topsham Fair Mall Rd Unit 1, Topsham, ME 04086 | 2007-06-25 |
| 1003917501 | Nancy A Porr | Nurse Practitioner | 4 Horton Place, Suite 101, Topsham, ME 04086 | 2006-09-26 |
| Find all providers in zip 04086 | ||||
| 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 |
|---|---|---|---|---|
| 1972926608 | Sarah Grinder | Occupational Therapist | 28 Barrows Dr, Topsham, ME 04086-1303 | 2014-01-31 |
| 1831493964 | Diane Lamere-wallace | Occupational Therapist | 19 Perkins Avenue, Topsham, ME 04086 | 2011-01-04 |
| 1376140111 | Brittnie Fredenburg | Occupational Therapist | 41 Main St, Topsham, ME 04086-1285 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767272 | Kelsey M Connors | Occupational Therapist | 11 Carriage Hill Rd Apt F, Eliot, ME 03903-2163 | 2020-10-14 |
| 1861090813 | Angela Tirabassi | Occupational Therapist | 289 Sligo Rd Apt 3, Yarmouth, ME 04096-8394 | 2020-10-13 |
| 1427665694 | Patricia Jane Clark | Occupational Therapist | Patricia Clark, 408 Center Bridge Road, Turner, ME 04282 | 2020-09-30 |
| 1538774013 | Taylor Eells | Occupational Therapist | 984 Sabattus St Unit 4, Lewiston, ME 04240-3363 | 2020-09-11 |
| 1124632674 | Samantha M Mack | Occupational Therapist | 24 Hillcrest Cir, Portland, ME 04103-1443 | 2020-09-02 |
| 1366068892 | Katherine Uschmann | Occupational Therapist | 33 Leighton Rd, Yarmouth, ME 04096-7712 | 2020-06-20 |
| 1104441633 | Amanda R Petry | Occupational Therapist | 14 Oak St Apt 2, Brunswick, ME 04011-1980 | 2020-06-10 |
| 1124648555 | Salena Sykes | Occupational Therapist | 47 Garrison St Apt A, Brunswick, ME 04011-3106 | 2020-04-27 |
| 1033739545 | Jacobs Ladder Occupational Therapy | Occupational Therapist | 526 Hampden Rd, Carmel, ME 04419-3523 | 2020-04-24 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
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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.