KATIE C EDWARDS (NPI# 1700351814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700351814 |
| Entity Type | Individual |
| Full Name | KATIE C EDWARDS |
| Practice Address |
308 S 2nd St Walnut IL 61376-9364 |
| Mailing Address |
2217 N 5th St Clinton IA 52732-2149 |
| Practice Telephone | 8153792131 |
| Mailing Telephone | 5633211901 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057004856 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION | 057004856 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2217 N 5th St, Clinton, IA 527322149 | 5633211901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386034098 | Katie Edwards | Doula | 24356 Se 43rd Pl, Issaquah, WA 98029-7541 | 2015-02-02 |
| 1396078853 | Katie Lynn Edwards | Acupuncturist | 1325 Miller Rd Ste C, Greenville, SC 29607-6542 | 2009-09-15 |
| 1336217256 | Katie Celise Edwards | Speech-Language Pathologist | 812 Jefferson St Ne, Albuquerque, NM 87110-6206 | 2006-11-30 |
| 1952945263 | Katie Edwards | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-30 |
| 1689169484 | Katie Edwards | Social Worker | 9415 E Harry St, Wichita, KS 67207-5089 | 2018-06-25 |
| 1801298260 | Katie Edwards | Speech-Language Pathologist | 5225 S Loop 289, Suirte 210, Lubbock, TX 79424-1363 | 2014-09-17 |
| 1114355948 | Katie Edwards | Occupational Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2013-10-14 |
| Street Address |
308 S 2ND ST |
| City | WALNUT |
| State | IL |
| Zip Code | 61376-9364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483307 | Heritage Manor - Walnut, LLC | Skilled Nursing Facility | 308 S 2nd St, Walnut, IL 61376-9363 | 2005-11-03 |
| 1275005654 | Aspen Quadri | Occupational Therapy Assistant | 308 S 2nd St, Walnut, IL 61376-9364 | 2018-12-21 |
| 1417201963 | Heritage Manor - Walnut, LLC | Durable Medical Equipment & Medical Supplies | 308 S 2nd St, Walnut, IL 61376-9364 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588707095 | Dean A. Hulsing PC | Chiropractor | 405 W. North Street, Walnut, IL 61376 | 2007-02-14 |
| 1083764880 | Walnut Fire Department Inc | Ambulance | 115 Liberty Street, Walnut, IL 61376 | 2007-01-12 |
| 1730108002 | Dean A Hulsing | Chiropractor | 405 W North Street, Walnut, IL 61376 | 2006-07-18 |
| 1407806953 | Linda L Grant | Nurse Practitioner | 131 East Jackson Street, Walnut, IL 61376 | 2006-05-12 |
| 1467640292 | Carolyn Jean Gale | Physician Assistant | 101 N Main St, Walnut, IL 61376 | 2007-10-05 |
| 1467687525 | Walnut Fire Protection District | Ambulance | 122 E Jackson Street, Walnut, IL 61376-0523 | 2009-05-19 |
| 1508069717 | Daniel B Fuertges | Dentist | 101 N Main St, Walnut, IL 61376-0624 | 2007-06-06 |
| 1528107471 | Heidi Allison Wilken Wallace | Social Worker | 27566 1375 East St, Walnut, IL 61376-9528 | 2007-02-06 |
| 1033649967 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 105 N Main St Ste 1, Walnut, IL 61376-9707 | 2017-06-13 |
| 1043786338 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 105 N Main St Ste 1, Walnut, IL 61376-9707 | 2018-10-15 |
| Find all providers in zip 61376 | ||||
| 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 |
|---|---|---|---|---|
| 1548730658 | Miriam Reyes | Occupational Therapy Assistant | 18800 Amar Rd Ste B07, Walnut, CA 91789-7106 | 2018-12-01 |
| 1598276875 | Isabelle Mendoza | Occupational Therapy Assistant | 830 Colusa Dr, Walnut, CA 91789-4189 | 2017-10-13 |
| 1275005654 | Aspen Quadri | Occupational Therapy Assistant | 308 S 2nd St, Walnut, IL 61376-9364 | 2018-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940886 | Kathleen Pumo | Occupational Therapy Assistant | 300 W 22nd St, Lombard, IL 60148-5417 | 2020-10-26 |
| 1093314593 | Melissa Eileen Suermann | Occupational Therapy Assistant | 300 S Station Rd, Glen Carbon, IL 62034-2739 | 2020-10-26 |
| 1265049746 | Lauren Bryant | Occupational Therapy Assistant | 17042 Wausau Ave, South Holland, IL 60473-3352 | 2020-09-28 |
| 1992312631 | Agnieszka Wanda Bis | Occupational Therapy Assistant | 110 W Schaumburg Rd, Streamwood, IL 60107-1459 | 2020-09-27 |
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1326651894 | Laverne Reese | Occupational Therapy Assistant | 150 S Durkin Dr Apt, Springfield, IL 62704-1151 | 2020-08-25 |
| 1326650235 | Cheryl Annette Perrilles | Occupational Therapy Assistant | 5124 S Alaska Rd, Peoria, IL 61607-9541 | 2020-08-21 |
| 1003426487 | Allyx Underwood | Occupational Therapy Assistant | 111 S Homer St, Princeton, IL 61356-1850 | 2020-07-31 |
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1508483991 | Latika Kemp | Occupational Therapy Assistant | 7246 S. King Dr., Chicago, IL 60619-1726 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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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.