MRS. DANA SUE KULICK X (NPI# 1689818189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689818189 |
| Entity Type | Individual |
| Full Name | MRS. DANA SUE KULICK X |
| Credential | COTA |
| Practice Address |
332 Stable Ln Wentzville MO 63385-5447 |
| Mailing Address |
1380 Espowe Ln Villa Ridge MO 63089-2737 |
| Practice Telephone | 6363324940 |
| Mailing Telephone | 6367423696 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2007031187 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
332 STABLE LN |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346383809 | Sandra L Rafferty | Occupational Therapist | 332 Stable Ln, Wentzville, MO 63385-5447 | 2007-02-15 |
| 1912517632 | Amy Christeen Willard | Counselor | 332 Stable Ln, Wentzville, MO 63385-5447 | 2020-08-06 |
| 1104206937 | Margaret Joan Colegrove | Occupational Therapy Assistant | 332 Stable Ln, Wentzville, MO 63385-5447 | 2015-06-07 |
| 1144626623 | Cynthia Alvino | Physical Therapist | 332 Stable Ln, Wentzville, MO 63385-5447 | 2014-11-12 |
| 1598181026 | Jennifer Lynn Copher | Physical Therapist | 332 Stable Ln, Wentzville, MO 63385-5447 | 2014-03-07 |
| 1750641924 | Elizabeth Hodge Hoffman | Social Worker | 332 Stable Ln, Wentzville, MO 63385 | 2012-05-22 |
| 1942591581 | Kimberly Anne Gerth | Speech-Language Pathologist | 332 Stable Ln, Wentzville, MO 63385-5447 | 2011-05-01 |
| 1669779591 | Holly Franer | Occupational Therapist | 332 Stable Ln, Wentzville, MO 63385-5447 | 2011-02-10 |
| 1811210172 | Belinda B Pankoff | Speech-Language Pathologist | 332 Stable Ln, Wentzville, MO 63385-5447 | 2010-03-01 |
| 1023330701 | Katie L Ketchel | Occupational Therapist | 332 Stable Ln, Wentzville, MO 63385-5447 | 2010-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| 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 |
|---|---|---|---|---|
| 1144667783 | Jennifer Boyer | Occupational Therapy Assistant | 1248 Highland Circle Dr, Wentzville, MO 63385-5540 | 2013-05-22 |
| 1528539046 | Mary Ann Elizabeth Simon | Occupational Therapy Assistant | 280 Interstate Dr, Wentzville, MO 63385-4510 | 2018-12-10 |
| 1104206937 | Margaret Joan Colegrove | Occupational Therapy Assistant | 332 Stable Ln, Wentzville, MO 63385-5447 | 2015-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294361 | Carolyn Marie Placht | Occupational Therapy Assistant | 4019 Shenandoah Ave, Saint Louis, MO 63110-3928 | 2020-10-26 |
| 1053927129 | Kirk Zimmermann | Occupational Therapy Assistant | 1907 Congress St, Saint Louis, MO 63118-1705 | 2020-09-23 |
| 1942814363 | Marquita S Powell | Occupational Therapy Assistant | 9444 Duenke Dr, Saint Louis, MO 63137-1212 | 2020-09-02 |
| 1740806025 | Ashely Moore | Occupational Therapy Assistant | 27 Reinke Rd, Ellisville, MO 63021-4700 | 2020-06-22 |
| 1619505534 | Bethany Rice | Occupational Therapy Assistant | 124 Nw 90th Rd, Lamar, MO 64759-8154 | 2020-03-27 |
| 1366076929 | Kourtney Brooke Anderson | Occupational Therapy Assistant | 710 Newton Ave, Kahoka, MO 63445-1009 | 2020-02-23 |
| 1619508561 | Halley Jean Hawkins | Occupational Therapy Assistant | 9221 N Garfield Ave, Kansas City, MO 64155-3260 | 2020-01-29 |
| 1518503895 | Chavone Bonwell | Occupational Therapy Assistant | 13000 Corrington Ave, Grandview, MO 64030-2732 | 2019-11-21 |
| 1134763816 | Allyson Kristine Barone | Occupational Therapy Assistant | 5178 King St, Imperial, MO 63052-4000 | 2019-11-05 |
| 1962046862 | Kimberly Sue Bollinger | Occupational Therapy Assistant | 2085 Bluestone Dr, Saint Charles, MO 63303-6726 | 2019-11-04 |
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| City | WENTZVILLE |
| Zip Code | 63385 |
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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.