MACKENZIE ELISE BENNING (NPI# 1710531470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710531470 |
Entity Type | Individual |
Full Name | MACKENZIE ELISE BENNING |
Credential | MOT, OTR/L |
Practice Address |
1015 Oconor Ave La Salle IL 61301-1216 |
Mailing Address |
2803 6th St Peru IL 61354-2417 |
Practice Telephone | 8152230303 |
Enumeration Date | 2019-07-30 |
Last Update Date | 2019-07-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 056.013125 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1015 OCONOR AVE |
City | LA SALLE |
State | IL |
Zip Code | 61301-1216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750448627 | Alan J Blomquist | Social Worker | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2007-01-02 |
1417555020 | Peter O'keefe | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2020-10-15 |
1972169985 | Jennifer Lynn Burwell | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2019-05-15 |
1750870382 | Bree N Carlson | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2018-05-09 |
1609226596 | Shannon Jenkins-solomon | Physical Therapy Assistant | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2016-06-21 |
1104287226 | Katherine Ann Schickedanz | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2016-03-17 |
1003207051 | Ashwin Yegneswar | Home Health | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2015-02-12 |
1932444270 | Kristin Ann Wackerlin | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2012-11-27 |
1184926511 | Karen R. Dunne | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2010-11-17 |
1942367453 | Illinois Veterans Home At Lasalle | Durable Medical Equipment & Medical Supplies | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2007-01-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598912453 | Matthew V Hartman | Dentist | 941 First St, La Salle, IL 61301 | 2008-08-22 |
1164501078 | Pamela F Wolf | Counselor | 146 Gooding Street, La Salle, IL 61301 | 2006-11-02 |
1265514343 | Rose Mary Schaumberg | Nurse Practitioner | 2970 Chartres Street, Lasalle, IL 61301 | 2006-10-19 |
1578668141 | Cynthia L. Ashley | Psychologist | 206 Marquette Street, Suite 203, Lasalle, IL 61301 | 2006-09-14 |
1922016849 | Mary Therese Petrella | Nurse Practitioner | 2970 Chartres, Hygienic Institute Community Health Clinic, La Salle, IL 61301 | 2006-08-04 |
1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
1124044318 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2006-07-14 |
1962445247 | William Michael White | Dentist | 225 Gooding St, Suite 1, La Salle, IL 61301 | 2006-06-14 |
1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
1619267135 | Gergovich Family Chiropractic, LLC. | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2011-04-18 |
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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 |
---|---|---|---|---|
1720532898 | Emily Vanduzer | Occupational Therapist | 1427 Argyle Rd, La Salle, IL 61301-1603 | 2016-08-06 |
1417555020 | Peter O'keefe | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2020-10-15 |
1972169985 | Jennifer Lynn Burwell | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2019-05-15 |
1104287226 | Katherine Ann Schickedanz | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2016-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
1083214019 | Kelly Shavonne Johnson-means | Occupational Therapist | 715 N Sawyer Ave, Chicago, IL 60624-1532 | 2020-10-28 |
1912506247 | Elizabeth L Hadhazy | Occupational Therapist | 5 W Boulder Ct Apt A, Palos Hills, IL 60465-2347 | 2020-10-19 |
1952909343 | Samantha E Grimm | Occupational Therapist | 1651 Amaryllis Dr, Romeoville, IL 60446-5131 | 2020-10-16 |
1467050708 | Dpt Holdings LLC | Occupational Therapist | 417 E Il Route 173 Unit 101, Antioch, IL 60002-9407 | 2020-10-09 |
1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
1154928141 | Raymund Espiritu | Occupational Therapist | 559 W Millers Rd, Des Plaines, IL 60016-2674 | 2020-10-03 |
1720695158 | Christine Baumann | Occupational Therapist | 9421 Burlington Ave Apt 1n, Brookfield, IL 60513-1868 | 2020-09-29 |
1972119279 | Caitlin Wend | Occupational Therapist | 2317 E Lincoln Highway, Suite B, Sterling, IL 61081 | 2020-09-22 |
1518573260 | Kaila Ann Lange | Occupational Therapist | 4450 48th St Ct, Rock Island, IL 61202 | 2020-09-18 |
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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.