SUSAN PATRICIA CARMONA (NPI# 1609807361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609807361 |
| Entity Type | Individual |
| Full Name | SUSAN PATRICIA CARMONA |
| Other Name | SUSAN PATRICIA OBURCHAY |
| Practice Address |
4710 Old Troy Pike Dayton OH 45424-5740 |
| Practice Telephone | 9378557821 |
| Practice Fax Number | 9378556972 |
| Mailing Telephone | 9378557821 |
| Mailing Fax Number | 9378556972 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT6693 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 004531-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0510772 | 05 | |
| NY | 00355344 | 05 | |
| NY | CAQH | 11225448 | 01 |
| Street Address |
4710 OLD TROY PIKE |
| City | DAYTON |
| State | OH |
| Zip Code | 45424-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205817541 | Connie Jean Pollock | Social Worker | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2005-11-11 |
| 1043790728 | Renee C Roberts | Physical Therapist | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2018-08-21 |
| 1639660665 | United Rehabilitation Services of Greater Dayton | Clinic/Center | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2018-05-25 |
| 1811485675 | Shelby L Jackson | Case Manager/Care Coordinator | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2018-04-27 |
| 1518478387 | United Rehabilitation Services of Greater Dayton | Social Worker | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2017-10-19 |
| 1245750595 | Kendra Jackalyn Lucas | Physical Therapist | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2017-06-27 |
| 1932643830 | Jeremy Nelson | Counselor | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2016-12-12 |
| 1205211745 | Bridget Brown | Speech-Language Pathologist | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2015-07-27 |
| 1942693288 | Megan C Krueger | Physical Therapist | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2015-03-11 |
| 1326444936 | Autumn Joy Davis | Physical Therapist | 4710 Old Troy Pike, Dayton, OH 45424-5740 | 2014-11-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402409 | Julie Ann Robinson | Case Manager/Care Coordinator | 7502 Mount Whitney, Huber Heights, OH 45424 | 2018-10-04 |
| 1275061103 | Thalia Duncan-alexander | Rehabilitation Counselor | 5414 Quisenberry Dr., Dayton, OH 45424 | 2017-05-23 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1942736111 | Jessica Winkler | Registered Nurse | 1771 Old Palmer Road Nw, Washington Court House, OH 45424 | 2017-05-10 |
| 1679029417 | Heather Marlow | Pharmacy Technician | 5300 Executive Blvd, Huber Heights, OH 45424 | 2016-08-31 |
| 1124471545 | Jeffrey Penny | Nurse Practitioner | 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 | 2016-07-20 |
| 1619344330 | Tamika Nicole Wood | Home Health Aide | 5602 Troy Villa Blvd, Huber Heights, OH 45424 | 2015-08-28 |
| 1730505983 | Stephanie D. Bihn | Speech-Language Pathologist | 5954 Longford Road, Huber Heights, OH 45424 | 2014-03-12 |
| 1003248170 | Federated Medical Supplies, LLP | Durable Medical Equipment & Medical Supplies | 5053 Pepper Dr., Dayton, OH 45424 | 2013-07-31 |
| 1710200431 | William D Folk | Pharmacist | 5045 Heather Way, Dayton, OH 45424 | 2010-03-09 |
| Find all providers in zip 45424 | ||||
| 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 |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1316434889 | Heather Bright | Occupational Therapist | 1938 Fountain View Dr, Dayton, OH 45414-2088 | 2018-04-19 |
| 1588056246 | Matthew Campbell | Occupational Therapist | 5916 Yarmouth Dr, Dayton, OH 45459-1450 | 2015-03-04 |
| 1548668320 | Meadhini Thandalam | Occupational Therapist | 90 Marc Dr, Dayton, NJ 08810-1388 | 2014-12-10 |
| 1336565266 | Kathryn Louise Cooney | Occupational Therapist | 115 S.ludlow Ave, Dayton, OH 45402 | 2014-03-17 |
| 1174952279 | Mona Patel | Occupational Therapist | 9 L Amour Ct, Dayton, NJ 08810-1503 | 2013-11-08 |
| 1013203595 | Debra Middleton | Occupational Therapist | 7466 Dayton Liberty Rd, Dayton, OH 45417-5149 | 2011-06-23 |
| 1225339393 | Weston Rehabilitation Ohio LLC | Occupational Therapist | 3797 Summit Glen Drive, Dayton, OH 45449-3661 | 2010-11-05 |
| 1659680221 | Joan E Trick | Occupational Therapist | 10 Wilmington Ave # 10, Dayton, OH 45420-1877 | 2010-09-30 |
| 1881839454 | Eileen Irma Bendel | Occupational Therapist | 4100 West 3rd St, Dayton, OH 45428-9000 | 2008-12-10 |
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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.