LAURA HACKLE (NPI# 1619086980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619086980 |
| Entity Type | Individual |
| Full Name | LAURA HACKLE |
| Practice Address |
4630 17th St Sarasota FL 34235-1843 |
| Mailing Address |
3543 65th Avenue Cir E Sarasota FL 34243-4117 |
| Practice Telephone | 9414875406 |
| Mailing Telephone | 9418069450 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | OT11850 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | OT LICENSE | OT 11850 | 01 |
| NBCOT CERTIFICATION | 1055144 | 01 | |
| FL | 890498700 | 05 |
| Street Address |
4630 17TH ST |
| City | SARASOTA |
| State | FL |
| Zip Code | 34235-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679120489 | Rebecca Esther Cubero | Social Worker | 4630 17th St, Sarasota, FL 34235-1843 | 2019-08-26 |
| 1114480621 | Courtney Rose Devin | Occupational Therapist | 4630 17th St, Sarasota, FL 34235-1843 | 2019-04-11 |
| 1619434198 | April M Colvin | Social Worker | 4630 17th St, Sarasota, FL 34235-1843 | 2019-02-21 |
| 1518438092 | Virginia Manriquez | Developmental Therapist | 4630 17th St, Sarasota, FL 34235-1843 | 2018-12-10 |
| 1609345503 | Millycent Cubilette | Social Worker | 4630 17th St, Sarasota, FL 34235-1843 | 2018-11-20 |
| 1235614306 | Mallory J Vorse | Social Worker | 4630 17th St, Sarasota, FL 34235 | 2018-09-25 |
| 1154814267 | Brandi Mcnulty | Developmental Therapist | 4630 17th St, Sarasota, FL 34235-1843 | 2018-06-13 |
| 1326531526 | Jacmely Savinon Mangual | Developmental Therapist | 4630 17th St, Sarasota, FL 34235-1843 | 2018-06-12 |
| 1336639905 | Wyshana Thompson | Social Worker | 4630 17th St, Sarasota, FL 34235-1843 | 2018-05-18 |
| 1891283354 | Amanda Stettler | Social Worker | 4630 17th St, Sarasota, FL 34235-1843 | 2018-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366939647 | Cooper Creek Facility LLC | Skilled Nursing Facility | 5381 Desoto Road, Sarasota, FL 34235 | 2018-04-22 |
| 1043714082 | Rosemary Gribbin | Developmental Therapist | Gulf Central Early Steps, 4630 17th Street, Sarasota, FL 34235 | 2018-03-23 |
| 1467979864 | Amber Parry | Social Worker | 4630 17th St., Sarasota, FL 34235 | 2017-08-25 |
| 1528598307 | Milena Aleman | Occupational Therapy Assistant | 4029 Felipi Lane, Sarasota, FL 34235 | 2017-06-14 |
| 1194259614 | Rosemarie Tabangay Hartman | Occupational Therapy Assistant | 5381 De Soto Rd, Sarasota, FL 34235 | 2017-04-12 |
| 1790957710 | Cathy Keskin | Occupational Therapy Assistant | 5201 Desota Rd., Sarasota, FL 34235 | 2008-03-31 |
| 1215107487 | Rebekah A.s. Nouri | Social Worker | 4630 17th Street, Sarasota, FL 34235 | 2008-03-04 |
| 1578642880 | Davinder Singh Bhamber | Internal Medicine | 5250 17th St, Suite 7, Sarasota, FL 34235 | 2006-11-06 |
| 1548352230 | Cathy Lynne Matthews | Midwife, Lay | 4944 Midnight Lane, Sarasota, FL 34235 | 2006-09-29 |
| 1831122050 | Dawn Affeldt | Counselor | 3300 17th Street, Sarasota, FL 34235 | 2006-07-09 |
| Find all providers in zip 34235 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437692647 | Leila Elzey | Occupational Therapist | 63 Sarasota Center Blvd Ste 101, Sarasota, FL 34240-9385 | 2016-11-21 |
| 1497995096 | Catherine Bland | Occupational Therapist | 1643 Pinyon Pine Dr, Sarasota, FL 34240-1405 | 2009-02-23 |
| 1740322809 | Karolyn Verdone | Occupational Therapist | 2912 Concord St, Sarasota, FL 34231-6114 | 2007-02-13 |
| 1598988800 | Cynthia Milos Kirchberg | Occupational Therapist | 350 Braden Ave, Sarasota, FL 34243-2001 | 2007-04-11 |
| 1912002692 | Cathy C. Winkler | Occupational Therapist | 4630 17th St, Sarasota, FL 34235-1843 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533155 | Ot Skills 4 Kids LLC | Occupational Therapist | 1320 Bristol Oaks Way, Orlando, FL 32825-7237 | 2020-09-16 |
| 1629680392 | Danielle Hicken | Occupational Therapist | 504 S Armenia Ave Unit 1324, Tampa, FL 33609-3391 | 2020-08-23 |
| 1982221792 | Gizelle Galliguez | Occupational Therapist | 3609 Data Dr Apt 203, Tampa, FL 33613-6156 | 2020-06-26 |
| 1265054753 | Pediatric Therapt Connections | Occupational Therapist | 3312 Nw Willow Creek Dr, Jensen Beach, FL 34957-3407 | 2020-05-07 |
| 1831718071 | Look Up Therapy LLC | Occupational Therapist | 6419 64th Way, West Palm Beach, FL 33409-7148 | 2020-04-08 |
| 1750916417 | Play The Ot Way LLC | Occupational Therapist | 812 Laurel St, Clewiston, FL 33440-2428 | 2020-03-03 |
| 1548807597 | Areanne Aragon | Occupational Therapist | 10735 Canyon Bay Ln, Boynton Beach, FL 33473-4847 | 2019-12-09 |
| 1295370062 | Teresa Lopez | Occupational Therapist | 7926 W 29th Ln Apt 202, Hialeah, FL 33018-5154 | 2019-11-15 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1972151470 | Jasmine F Colon | Occupational Therapist | 207 Park Place Blvd # 201, Kissimmee, FL 34741-2373 | 2019-08-28 |
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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.