KRISTIN WALLOCK (NPI# 1629012760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629012760 |
| Entity Type | Individual |
| Full Name | KRISTIN WALLOCK |
| Practice Address |
45 E Lockwood Ave Webster Groves MO 63119-3050 |
| Mailing Address |
705 Kingfisher Ln Apt I Woodbury MN 55125-1850 |
| Practice Telephone | 3149187300 |
| Mailing Telephone | 4143507070 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 104627 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 2011035655 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 4024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
45 E LOCKWOOD AVE |
| City | WEBSTER GROVES |
| State | MO |
| Zip Code | 63119-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720192 | Welltower Opco Group LLC | Assisted Living Facility | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2018-05-16 |
| 1962909879 | Alicia Helene Stone | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2018-04-07 |
| 1104361229 | Stephanie Battelle | Physical Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2016-12-28 |
| 1427435163 | Legacy Health Care Services | Clinic/Center | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2015-05-01 |
| 1730504671 | Trisha L Dorries | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2014-03-01 |
| 1316369614 | Sarah Farnell | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2014-01-06 |
| 1992052740 | Kathy Ann Plurad | Physical Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3019 | 2012-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| 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 |
|---|---|---|---|---|
| 1548782063 | Laura E Landon | Occupational Therapist | 515 Cannonbury Dr, Webster Groves, MO 63119-5310 | 2017-07-17 |
| 1750660775 | Morgan Shirley | Occupational Therapist | 508 Foreston Pl, Webster Groves, MO 63119-3929 | 2011-08-08 |
| 1962909879 | Alicia Helene Stone | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2018-04-07 |
| 1386030310 | Melissa Harris | Occupational Therapist | 8175 Big Bend Blvd, Webster Groves, MO 63119-3291 | 2015-04-07 |
| 1730504671 | Trisha L Dorries | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2014-03-01 |
| 1316369614 | Sarah Farnell | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2014-01-06 |
| 1063644235 | Erin M Rogaczewski | Occupational Therapist | 330 N Gore Ave, Webster Groves, MO 63119-1600 | 2009-08-20 |
| 1235266909 | Destiny Shaunte Eikerenkoetter | Occupational Therapist | 8747 Big Bend Blvd, Webster Groves, MO 63119-3729 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205670 | Sara Crites | Occupational Therapist | 704 E 122nd St, Kansas City, MO 64146-1113 | 2020-11-08 |
| 1700486255 | Emily Allison | Occupational Therapist | 3680 Ne Akin Dr Ste 134, Lees Summit, MO 64064-7853 | 2020-10-26 |
| 1831798453 | Speaklife Therapy Services, LLC | Occupational Therapist | 919 Dogwood Trail Loop, Carl Junction, MO 64834-9309 | 2020-10-24 |
| 1063011856 | Rebeca Duvert | Occupational Therapist | 8550 N Garden Village Retirement, Kansas City, MO 64154-1200 | 2020-10-22 |
| 1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
| 1710594239 | Kayla Rebeca Smith | Occupational Therapist | 4931 Mcpherson Ave Apt D, Saint Louis, MO 63108-1627 | 2020-09-29 |
| 1447867437 | Danae Marie Wollberg | Occupational Therapist | 531 Roaring Fork Dr, Wildwood, MO 63040-1566 | 2020-09-24 |
| 1518573252 | Amanda Cline | Occupational Therapist | 729 S Laclede Station Rd, Saint Louis, MO 63119-4911 | 2020-09-18 |
| 1366056467 | Mikayla Renee Stupps | Occupational Therapist | 10144 N Tracy Ave, Kansas City, MO 64155-3716 | 2020-09-04 |
| 1962016774 | Envision Rehab and Wellness LLC | Occupational Therapist | 7421 Mexico Rd Ste 102, Saint Peters, MO 63376-1369 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | WEBSTER GROVES |
| Zip Code | 63119 |
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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.