MRS. MELISSA KUKOSKY (NPI# 1689182578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689182578 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA KUKOSKY |
| Credential | COTA |
| Practice Address |
245 Old Lake Rd Dallas PA 18612-3154 |
| Mailing Address |
447 Patla Rd Sweet Valley PA 18656-2217 |
| Practice Telephone | 5706391885 |
| Mailing Telephone | 5702390454 |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2018-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OP008373 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
245 OLD LAKE RD |
| City | DALLAS |
| State | PA |
| Zip Code | 18612-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053712067 | Mary Ryan | Speech-Language Pathologist | 245 Old Lake Rd, Dallas, PA 18612-3154 | 2014-09-09 |
| 1174015853 | Lakeside Rehabilitation & Nursing, LLC | Skilled Nursing Facility | 245 Old Lake Rd, Dallas, PA 18612-3154 | 2018-05-30 |
| 1144681719 | Maybrook-p Lakeside Opco, LLC | Skilled Nursing Facility | 245 Old Lake Rd, Dallas, PA 18612-3154 | 2016-03-10 |
| 1598166555 | Marisa Stella | Speech-Language Pathologist | 245 Old Lake Rd, Dallas, PA 18612-3154 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
| 1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
| 1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
| 1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
| 1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
| 1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
| 1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
| 1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
| 1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
| 1417170549 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 2860 State Route 309, Dallas, PA 18612 | 2007-04-10 |
| Find all providers in zip 18612 | ||||
| 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 |
|---|---|---|---|---|
| 1164039970 | Blair Ellyse Madkins | Occupational Therapy Assistant | 14248 Chaps Dr, Dallas, TX 75253-5305 | 2020-09-25 |
| 1427664663 | Morgan Gilbert | Occupational Therapy Assistant | 8240 Meadow Rd Apt 2204, Dallas, TX 75231-3721 | 2020-09-22 |
| 1215542485 | Danny Allford | Occupational Therapy Assistant | 5704 Spring Valley Rd Apt 2011, Dallas, TX 75254-3205 | 2020-09-14 |
| 1083227557 | William Christopher Scott Mckinley | Occupational Therapy Assistant | 2727 Kings Rd Apt 2156, Dallas, TX 75219-7421 | 2020-08-25 |
| 1811528862 | Jennifer Ann Lee | Occupational Therapy Assistant | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 | 2020-01-29 |
| 1033756226 | Shontel M Lopez | Occupational Therapy Assistant | 5800 Preston Oaks Rd Apt 1027, Dallas, TX 75254-8707 | 2019-12-06 |
| 1134764897 | Erica Caughlan | Occupational Therapy Assistant | 8820 Southwestern Blvd Apt 204, Dallas, TX 75206-2866 | 2019-11-16 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1477057453 | Joanne Florexil | Occupational Therapy Assistant | 3805 S Buckner Blvd, Dallas, TX 75227-4312 | 2018-03-22 |
| 1144776899 | Vickie Pemberton | Occupational Therapy Assistant | 17540 Brown Rd, Dallas, OR 97338-9375 | 2016-08-31 |
| Find all providers in DALLAS | ||||
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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.