LISA M KRUSSOW (NPI# 1669607446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669607446 |
| Entity Type | Individual |
| Full Name | LISA M KRUSSOW |
| Credential | COTA |
| Practice Address |
1350 N Todd Dr Scottsburg IN 47170-7755 |
| Practice Telephone | 8124142660 |
| Practice Fax Number | 8124142661 |
| Mailing Telephone | 8124142660 |
| Mailing Fax Number | 8124142661 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2010-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32001099A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1350 N TODD DR |
| City | SCOTTSBURG |
| State | IN |
| Zip Code | 47170-7755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689871287 | Shera Kay Beckort | Occupational Therapist | 1350 N Todd Dr, Scottsburg, IN 47170-7755 | 2007-06-28 |
| 1972863421 | Dearborn County Hospital | Skilled Nursing Facility | 1350 N Todd Dr, Scottsburg, IN 47170-7755 | 2012-05-17 |
| 1942525886 | Amit Kalra | Physical Therapist | 1350 N Todd Dr, Scottsburg, IN 47170-7755 | 2010-04-04 |
| 1205166949 | Pamela Marie Smock | Speech-Language Pathologist | 1350 N Todd Dr, Scottsburg, IN 47170-7755 | 2009-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962065565 | Mfdc of Indiana, Inc | Dentist | 1606 W Mcclain Ave, Scottsburg, IN 47170 | 2019-04-18 |
| 1003211392 | Forefront Dermatology, S.c. | Dermatology | 1473 N Gardner St Ste A, C/o Scott Memorial Hospital, Scottsburg, IN 47170 | 2014-10-29 |
| 1154750800 | Kimberly Burns | Occupational Therapy Assistant | 545 W. Moonglo Rd, Scottsburg, IN 47170 | 2013-11-04 |
| 1700127800 | Janet M Buhse Md PC | Family Medicine | 941 W Mcclain Ave Ste C, Scottsburg, IN 47170 | 2013-03-14 |
| 1972826402 | Harold H Rumley | Counselor | 75 North First Street, Scottsburg, IN 47170 | 2010-03-11 |
| 1245497213 | Samaritan Behavioral Healthcare | Counselor | 969 W Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-05-19 |
| 1801061858 | Gardner Street Emergency Physicians | Emergency Medicine | 1451 N. Gardner Street, Scottsburg, IN 47170 | 2008-04-29 |
| 1689859621 | Samaritan Behavioral Healthcare | Counselor | 969 W. Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-01-09 |
| 1760674998 | Darshana Patel | Internal Medicine | 1467 Scott Valley Dr, Scottsburg, IN 47170 | 2007-08-12 |
| 1669663977 | Wwindell Go Ellorimo | Physical Therapist | 545 Moonglo Rd, Scottsburg, IN 47170 | 2007-08-05 |
| Find all providers in zip 47170 | ||||
| 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 |
|---|---|---|---|---|
| 1154750800 | Kimberly Burns | Occupational Therapy Assistant | 545 W. Moonglo Rd, Scottsburg, IN 47170 | 2013-11-04 |
| 1386073351 | Toni Baumann | Occupational Therapy Assistant | 545 W Moonglo Rd, Scottsburg, IN 47170-7710 | 2013-11-11 |
| 1942639018 | David Yeager | Occupational Therapy Assistant | 545 W Moonglo Rd, Scottsburg, IN 47170-7710 | 2013-11-08 |
| 1497952832 | Sabra Ann Haydon | Occupational Therapy Assistant | 545 W Moonglo Rd, Scottsburg, IN 47170-7710 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776604 | Tonya Darlene Ross | Occupational Therapy Assistant | 11312 Anderson Lake Dr, Granger, IN 46530-7293 | 2020-09-23 |
| 1528679214 | Carol L Gray | Occupational Therapy Assistant | 7662 Van Buren St, Merrillville, IN 46410-5769 | 2020-08-14 |
| 1811506553 | Laura Chenoweth | Occupational Therapy Assistant | 17219 Foundation Pkwy # 100, Westfield, IN 46074-9805 | 2020-07-29 |
| 1609491414 | Kerry Herndon | Occupational Therapy Assistant | 3715 Union Chapel Rd, Fort Wayne, IN 46845-7400 | 2020-06-08 |
| 1144844416 | Monica Ashley Teller | Occupational Therapy Assistant | 8143 Hohman Ave, Munster, IN 46321-1507 | 2020-06-03 |
| 1316569379 | Sheila Denise Davis | Occupational Therapy Assistant | 2921 W 61st Pl Apt 2g, Merrillville, IN 46410-2260 | 2020-05-13 |
| 1679195705 | Ladonna Lawson | Occupational Therapy Assistant | 816 W 59th Pl Apt A, Merrillville, IN 46410-7614 | 2020-05-12 |
| 1811523244 | Rebecca Darlene Pilgrim | Occupational Therapy Assistant | 902 N Gregg Rd, Connersville, IN 47331-1169 | 2020-03-17 |
| 1871129262 | Scott Heuring | Occupational Therapy Assistant | 1543 Fischrupp Ave, Whiting, IN 46394-2030 | 2020-03-17 |
| 1164056016 | Amy Elizabeth Shreve | Occupational Therapy Assistant | 6434 E Raymond St, Indianapolis, IN 46203-5053 | 2020-03-01 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBURG |
| Zip Code | 47170 |
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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.