DIANE KELLY (NPI# 1659537462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659537462 |
| Entity Type | Individual |
| Full Name | DIANE KELLY |
| Practice Address |
149 N Main St Fairport NY 14450-1434 |
| Practice Telephone | 5853772230 |
| Practice Fax Number | 5853772312 |
| Mailing Telephone | 5853772230 |
| Mailing Fax Number | 5853772312 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 003625-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 003625-1 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789100 | Diane Kelly | Student in an Organized Health Care Education/Training Program | Loma Linda University Health- Pediatrics, 11234 Anderson Street, Loma Linda, CA 92354-2804 | 2019-06-20 |
| 1851431522 | Diane Collette Kelly | Dentist | 2119 Hamilton Creek Pkwy, Suite 200, Dacula, GA 30019-3293 | 2007-02-08 |
| 1083672406 | Diane M Kelly | Specialist | 7902 Ne St Johns Rd, Vancouver, WA 98665-1094 | 2006-05-03 |
| 1932767928 | Diane Kelly | Occupational Therapist | 5372b Old Virginia St, Urbanna, VA 23175-2179 | 2019-06-04 |
| 1932410933 | Diane Kelly | Registered Nurse | 940 Central Park Dr Ste 101, Steamboat Springs, CO 80487-8816 | 2010-06-24 |
| 1871720177 | Diane Claire Kelly | Counselor | 225 Nw Lindvig Way, Suite 10, Poulsbo, WA 98370-6520 | 2009-06-15 |
| 1942417035 | Diane G Kelly | Social Worker | 260 Newport Center Dr, Ste 203, Newport Beach, CA 92660-7520 | 2007-05-17 |
| 1083783278 | Diane M Kelly | Nurse Practitioner | 8 Denison Pkwy E, Suite 201, Corning, NY 14830-2638 | 2006-11-06 |
| 1578582375 | Diane Salmon Kelly | Chiropractor | 1460 Ritchie Hwy, Suite 206, Arnold, MD 21012-2730 | 2006-07-19 |
| 1932190600 | Diane J Kelly | Obstetrics & Gynecology | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2005-11-02 |
| Street Address |
149 N MAIN ST |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111068 | Anissa Kurian | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-10-13 |
| 1386250587 | Megan Corey | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-22 |
| 1164038881 | Anna Elizabeth Domiano | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-17 |
| 1376159087 | Emily Ann Stamer | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-17 |
| 1366076499 | Mikala Miller | Speech-Language Pathologist | 149 N Main St, Fairport, NY 14450-1434 | 2020-02-27 |
| 1902430317 | Anjoli Marie Moise | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2020-02-24 |
| 1215588322 | Mary M Reyngoudt | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-09-20 |
| 1043869134 | Melody Moore | Physical Therapy Assistant | 149 N Main St, Fairport, NY 14450-1434 | 2019-09-10 |
| 1467009241 | Rebecca Chodak | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-08-26 |
| 1235786229 | Sarah J Gordner | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| 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 |
|---|---|---|---|---|
| 1770115982 | Lindsay Anne Layer | Occupational Therapist | 18 Latour Mnr, Fairport, NY 14450-4637 | 2020-02-05 |
| 1790338507 | Carolyn Huff | Occupational Therapist | 39 Royale Dr, Fairport, NY 14450-8441 | 2019-07-21 |
| 1023390010 | Jennifer Robertson | Occupational Therapist | 303 Jefferson Ave, Fairport, NY 14450-2313 | 2011-09-15 |
| 1093001901 | Constance Rose Valois | Occupational Therapist | 41 O Connor Road, Fairport, NY 14450 | 2011-06-20 |
| 1881903409 | Denise Payne Kasper | Occupational Therapist | 40 Oconnor Road, Fairport, NY 14450 | 2010-09-30 |
| 1356663140 | Amanda Marie Atkinson | Occupational Therapist | 2572 Monroe Wayne Cty Line Rd, Fairport, NY 14450-9001 | 2010-02-19 |
| 1760648042 | Lisa Aj Sykes | Occupational Therapist | 6 Jomanda Way, Fairport, NY 14450-9186 | 2008-08-05 |
| 1780840520 | Judith C Trolley | Occupational Therapist | 85 Crossover Rd, Fairport, NY 14450-1241 | 2008-07-31 |
| 1104425099 | Amanda Hewes Evans | Occupational Therapist | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2020-10-21 |
| 1164021275 | Samantha Iafrati | Occupational Therapist | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2020-10-20 |
| Find all providers in FAIRPORT | ||||
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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.