CAVENAUGH KELLY (NPI# 1730282831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730282831 |
| Entity Type | Individual |
| Full Name | CAVENAUGH KELLY |
| Credential | OT |
| Practice Address |
1048 Union St Ste 5 Bangor ME 04401-8601 |
| Practice Telephone | 2079455247 |
| Practice Fax Number | 2079922154 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079922154 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT1042 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1048 UNION ST STE 5 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912090846 | Manna Inc. | Family Medicine | 1048 Union St Ste 5, Bangor, ME 04401-8601 | 2006-10-02 |
| 1760575609 | Shaw House | Family Medicine | 1048 Union St Ste 5, Bangor, ME 04401-8601 | 2006-10-02 |
| 1891887774 | Shaun Oconnor | Physician Assistant | 1048 Union St Ste 5, Bangor, ME 04401-8601 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1427452804 | Stephanie Kettle | Occupational Therapist | 9937 Jacktown Rd, Bangor, PA 18013-3862 | 2014-10-14 |
| 1992057871 | Lindsay White | Occupational Therapist | 22 March St, Apt 1a, Bangor, ME 04401-6881 | 2012-10-03 |
| 1477836500 | Lacey M Guiou | Occupational Therapist | 66 Vine St, Bangor, ME 04401-6029 | 2011-09-26 |
| 1760653919 | Melissa Anne Strout | Occupational Therapist | 335 Stillwater Avenue, Stillwater Healthcare, Bangor, ME 04401 | 2008-03-17 |
| 1689706517 | Lynn Gitlow | Occupational Therapist | 34 Summer St Ste 2a, Bangor, ME 04401-6446 | 2007-03-09 |
| 1831252048 | Beth M Woodbrey-johnson | Occupational Therapist | 281 Burleigh Rd, Bangor, ME 04401-2511 | 2006-12-18 |
| 1417051905 | Kristen L Simpson | Occupational Therapist | 890 Hammond St, Bangor, ME 04401-4328 | 2006-09-12 |
| 1689299323 | Kathryn Trow | Occupational Therapist | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2020-06-09 |
| 1033733316 | Katherine Dionne | Occupational Therapist | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2020-06-03 |
| Find all providers in BANGOR | ||||
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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.