CAROLYN HANEY (NPI# 1609400845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609400845 |
| Entity Type | Individual |
| Full Name | CAROLYN HANEY |
| Credential | COTA |
| Practice Address |
677 E State St Burlington WI 53105-1639 |
| Mailing Address |
5227 W Wahner Ave Brown Deer WI 53223-3041 |
| Practice Telephone | 2627639531 |
| Mailing Telephone | 4144600837 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5662 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013445766 | Carolyn Haney | Nurse's Aide | 1190 Independence Ave, Elburn, IL 60119-7833 | 2017-05-25 |
| 1871756965 | Carolyn Diane Haney | Social Worker | 1050 N 3rd St, Suite B1, Laramie, WY 82072-2544 | 2008-07-08 |
| Street Address |
677 E STATE ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538245170 | Kam Kwan Soo | Psychiatry & Neurology | 677 E State St, Burlington, WI 53105 | 2006-10-27 |
| 1487265716 | Amanda Waldera | Physical Therapist | 677 E State St, Burlington, WI 53105-1639 | 2020-08-11 |
| 1245864586 | Jazzlyn Garcia | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2020-02-25 |
| 1144854464 | Casey Roberts | Speech-Language Pathologist | 677 E State St, Burlington, WI 53105-1639 | 2020-02-25 |
| 1700430295 | Dana Siebenaller Wiemer | Occupational Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-08-01 |
| 1295390888 | Annette Brauckhoff | Occupational Therapist | 677 E State St, Burlington, WI 53105-1639 | 2019-05-08 |
| 1568027977 | Scott Street | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-05-01 |
| 1629558457 | Rebecca Lynn Baade | Speech-Language Pathologist | 677 E State St, Burlington, WI 53105-1639 | 2018-08-21 |
| 1376023176 | Thera Ann Rossmiller | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2018-08-21 |
| 1841717139 | Eileen Louise Dahl | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| 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 |
|---|---|---|---|---|
| 1720617129 | Holly Fales | Occupational Therapy Assistant | 677 East Street, Burlington, WI 53105-1639 | 2020-04-07 |
| 1700412558 | Trisha Kathleen Tremper Justice | Occupational Therapy Assistant | 400 Gilkey Rd, Burlington, WA 98233-2907 | 2020-03-12 |
| 1164054573 | Kaelin Deanna Gulla | Occupational Therapy Assistant | 2259 Bluegrama Dr, Burlington, KY 41005-6801 | 2020-02-04 |
| 1346753563 | Ira Porter | Occupational Therapy Assistant | 1720 Old Saint Marks Church Rd Apt 10-1f, Burlington, NC 27215-9422 | 2017-11-09 |
| 1275796427 | Brian Freeman Hall | Occupational Therapy Assistant | 102 Tattersall Dr, Burlington, NJ 08016-4323 | 2008-07-08 |
| 1801058110 | Lisa Hahn | Occupational Therapy Assistant | 29404 Eagle Ridge Dr, Burlington, WI 53105-7608 | 2008-06-27 |
| 1700430295 | Dana Siebenaller Wiemer | Occupational Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-08-01 |
| 1619459856 | Tomomi Inori | Occupational Therapy Assistant | 300 Pearl St, Burlington, VT 05401-8531 | 2018-09-04 |
| 1104307875 | Sarah Lauren Ickes | Occupational Therapy Assistant | 2680 S Mebane St, Burlington, NC 27215-5695 | 2018-08-22 |
| 1518481910 | Kori Hubbard | Occupational Therapy Assistant | 902 Jacksonville Rd, Burlington, NJ 08016-3846 | 2017-07-28 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
Please comment or provide details below to improve the information on CAROLYN HANEY.
| 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.