KATHY L REYNOLDS (NPI# 1700435757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700435757 |
| Entity Type | Individual |
| Full Name | KATHY L REYNOLDS |
| Practice Address |
300 Green St Odin IL 62870-1062 |
| Practice Telephone | 6187756444 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057002836 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124076278 | Kathy L Reynolds | Pediatrics | 800 East 21st Street, Sioux Falls, SD 57105-1016 | 2006-05-04 |
| 1487975512 | Kathy J Reynolds | Dietitian, Registered | 299 Kings Daughters Dr, Frmc, Frankfort, KY 40601-6514 | 2010-06-11 |
| 1609043967 | Kathy Reynolds | Counselor | 1002 Mcclain Rd Ste 108, Bentonville, AR 72712-6739 | 2008-05-14 |
| 1194878934 | Kathy J Reynolds | Nurse Anesthetist, Certified Registered | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2007-01-18 |
| Street Address |
300 GREEN ST |
| City | ODIN |
| State | IL |
| Zip Code | 62870-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477674174 | Ssc Odin Operating Company LLC | Skilled Nursing Facility | 300 Green St, Odin, IL 62870-1062 | 2007-04-02 |
| 1669023313 | Cheryl T Merchant | Speech-Language Pathologist | 300 Green St, Odin, IL 62870-1062 | 2019-09-24 |
| 1790335479 | Christilyn Wacker | Physical Therapy Assistant | 300 Green St, Odin, IL 62870-1062 | 2019-09-16 |
| 1285284000 | Brittany Leight Shuler | Physical Therapy Assistant | 300 Green St, Odin, IL 62870-1062 | 2019-09-13 |
| 1265081277 | Tisha Jo Rueter | Occupational Therapy Assistant | 300 Green St, Odin, IL 62870-1062 | 2019-09-11 |
| 1497304448 | Janie Sue Zimmerman | Occupational Therapy Assistant | 300 Green St, Odin, IL 62870-1062 | 2019-09-11 |
| 1588211395 | Kaylee Beth Heinzmann | Speech-Language Pathologist | 300 Green St, Odin, IL 62870-1062 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683855 | Kd Smith | Counselor | 904 East Martin Luther King, Dr, Centralia, IL 62870 | 2016-08-11 |
| 1093917569 | Odin Grade Sch 122 | Local Education Agency (LEA) | 100 Merritt, Odin, IL 62870-0250 | 2007-06-05 |
| 1902008477 | Odin Hs 700 | Local Education Agency (LEA) | 100 Merritt, Odin, IL 62870-0250 | 2007-06-05 |
| 1063792141 | Odin Public School District 722 | Local Education Agency (LEA) | 102 S Merritt St, Odin, IL 62870-1112 | 2011-08-22 |
| 1912020934 | Marion County Ambulance Service Inc. | Ambulance | 110 S. Wood St., 207, Odin, IL 62870-1185 | 2007-04-06 |
| 1912553892 | Kelly Ruth Hall | Nurse Practitioner | 1680 Community Beach Rd, Odin, IL 62870-2100 | 2019-08-15 |
| 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 |
|---|---|---|---|---|
| 1265081277 | Tisha Jo Rueter | Occupational Therapy Assistant | 300 Green St, Odin, IL 62870-1062 | 2019-09-11 |
| 1497304448 | Janie Sue Zimmerman | Occupational Therapy Assistant | 300 Green St, Odin, IL 62870-1062 | 2019-09-11 |
| 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 |
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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.