MS. RONNETTA FAYE SHAKE (NPI# 1720285802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720285802 |
| Entity Type | Individual |
| Full Name | MS. RONNETTA FAYE SHAKE |
| Credential | COTA |
| Practice Address |
2119 E National Hwy Washington IN 47501-4507 |
| Mailing Address |
304 E Race St Odon IN 47562-1420 |
| Practice Telephone | 8122543301 |
| Practice Fax Number | 8122570039 |
| Mailing Telephone | 8126368530 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32000834A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2119 E NATIONAL HWY |
| City | WASHINGTON |
| State | IN |
| Zip Code | 47501-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871666982 | Extendicare Homes, Inc. | Skilled Nursing Facility | 2119 E National Hwy, Washington, IN 47501-4507 | 2006-11-16 |
| 1952791121 | Kyla Gehlhausen | Occupational Therapist | 2119 E National Hwy, Washington, IN 47501-4507 | 2015-01-27 |
| 1427478940 | Deborah Hershberger | Physical Therapy Assistant | 2119 E National Hwy, Washington, IN 47501-4507 | 2014-04-23 |
| 1003162512 | Eastgate Manor | Skilled Nursing Facility | 2119 E National Hwy, Washington, IN 47501-4507 | 2012-08-02 |
| 1093061814 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2119 E National Hwy, Washington, IN 47501 | 2012-07-30 |
| 1710265202 | Irina Krivoruchko | Speech-Language Pathologist | 2119 E National Hwy, Washington, IN 47501-4507 | 2011-08-01 |
| 1770879561 | Emily C Burton | Physical Therapy Assistant | 2119 E National Hwy, Washington, IN 47501-4507 | 2011-06-21 |
| 1134429079 | Angela Kathleen Ochs | Occupational Therapy Assistant | 2119 E National Hwy, Washington, IN 47501-4507 | 2010-10-26 |
| 1003125139 | Michele Diane Deitz | Physical Therapy Assistant | 2119 E National Hwy, Washington, IN 47501-4507 | 2010-10-07 |
| 1447569124 | Michelle Lynn Helms | Speech-Language Pathologist | 2119 E National Hwy, Washington, IN 47501-4507 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647249 | Williams Bros. Health Care Pharmacy, Inc | Pharmacy | 1998 State St, Washington, IN 47501 | 2020-10-21 |
| 1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
| 1104134360 | Amanda Erin Davis | Occupational Therapist | 801 S. Sr 57, Washington, IN 47501 | 2010-09-21 |
| 1891015624 | Wanda Mae Bullock | Physical Therapy Assistant | Troy Road, Washington, IN 47501 | 2010-06-03 |
| 1912149253 | Back In Motion Therapy, PC | Clinic/Center | 1764 Troy Rd., Washington, IN 47501 | 2009-04-01 |
| 1255510293 | Marlo Dale Chilman | Physical Therapist | 501 E Nat Hwy, Suite B, Washington, IN 47501 | 2007-10-26 |
| 1598952814 | Assisted Living Concepts Inc | Assisted Living Facility | 297 S 100 E, Washington, IN 47501 | 2007-10-01 |
| 1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
| 1902006141 | Emily J Hansen | Physical Therapy Assistant | 801 South Sr 57, Washington, IN 47501 | 2007-07-24 |
| 1033318001 | Melanie Carol Hunter | Physical Therapist | 2119 E. National Highway, Washington, IN 47501 | 2007-07-11 |
| Find all providers in zip 47501 | ||||
| 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 |
|---|---|---|---|---|
| 1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
| 1336797570 | Bonnie Jean Mcmillan | Occupational Therapy Assistant | 60410 Campground Rd Apt 3, Washington, MI 48094-3431 | 2019-08-30 |
| 1912413121 | Rachel Ann Howard | Occupational Therapy Assistant | 220 Old Hickory Ridge Rd, Washington, PA 15301-8618 | 2017-12-26 |
| 1053749234 | Cara Mcdonald | Occupational Therapy Assistant | 1200 Clifton St Nw, Washington, DC 20009-5217 | 2013-10-24 |
| 1053749481 | Faith Adair Hodges | Occupational Therapy Assistant | 2716 Wisconsin Ave Nw, Apartment 6, Washington, DC 20007-4648 | 2013-10-22 |
| 1710223540 | Michael Wong | Occupational Therapy Assistant | 3901 Cathedral Ave Nw Unit 319, Washington, DC 20016-5215 | 2012-12-26 |
| 1083986640 | Leslie Profit | Occupational Therapy Assistant | 1929 18th St Nw Apt 403, Washington, DC 20009-1743 | 2012-01-29 |
| 1700156668 | Rachel Marie Derus | Occupational Therapy Assistant | 4829 41st St Nw, Washington, DC 20016-1707 | 2012-01-10 |
| 1710505243 | Marth Eileen Herard | Occupational Therapy Assistant | 5901 Macarthur Blvd Nw, Washington, DC 20016-2541 | 2020-07-10 |
| 1982244000 | Shaina N Smith | Occupational Therapy Assistant | 2601 18th St Ne, Washington, DC 20018-1301 | 2020-01-07 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 47501 |
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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.