COLLEEN GANNON (NPI# 1710451018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710451018 |
| Entity Type | Individual |
| Full Name | COLLEEN GANNON |
| Practice Address |
1185 Strathmann Dr Southampton PA 18966-4726 |
| Practice Telephone | 2672293622 |
| Mailing Telephone | 2672293622 |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2019-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC016124 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528295938 | Colleen Gannon | Registered Nurse | 1131 Broadway St, Buffalo, NY 14212-1501 | 2009-06-12 |
| Street Address |
1185 STRATHMANN DR |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649713801 | Anna Comfort | Occupational Therapist | 635a 2nd Street Pike, Southampton, PA 18966-3940 | 2016-11-21 |
| 1487941159 | Virginia Davis | Occupational Therapist | 1050 Woods Rd, Southampton, PA 18966-4566 | 2011-07-01 |
| 1124278031 | Toby Desperak | Occupational Therapist | 16 Hidden Cove Dr, Southampton, PA 18966-1531 | 2008-09-27 |
| 1700484458 | Samantha Freas | Occupational Therapist | 56 Main St Unit 1a, Southampton, NJ 08088-8896 | 2020-10-14 |
| 1831720911 | Kara Bogucki | Occupational Therapist | 75 Meadowfield Dr, Southampton, PA 18966-3043 | 2020-01-28 |
| 1386274827 | Maria Eleni Evgeniadis | Occupational Therapist | 56 Main St Unit 1a, Southampton, NJ 08088-8896 | 2020-01-23 |
| 1770137820 | Romina Isabel Kramer | Occupational Therapist | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2019-07-26 |
| 1861957409 | Kristie Lee Martino | Occupational Therapist | 56 Main St Unit 1a, Southampton, NJ 08088-8896 | 2019-02-07 |
| 1053869289 | Michelle Scarcello Barber | Occupational Therapist | 18 W Main St, Southampton, NY 11968-4814 | 2016-09-16 |
| 1316328693 | Karen Bartlett | Occupational Therapist | 18 W Main St, Southampton, NY 11968-4814 | 2015-06-12 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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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.