BROGAN CANCIAMILLE (NPI# 1740769405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740769405 |
Entity Type | Individual |
Full Name | BROGAN CANCIAMILLE |
Practice Address |
202 N Show Place Dr Rockford IL 61107-5351 |
Mailing Address |
130 Summit St Apt 8 Rockford IL 61107-4257 |
Practice Telephone | 8153323700 |
Mailing Telephone | 5206616200 |
Enumeration Date | 2018-08-13 |
Last Update Date | 2018-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 056010232 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4730 Squaw Prairie Rd, Belvidere, IL 610088800 | 8155449495 |
Street Address |
202 N SHOW PLACE DR |
City | ROCKFORD |
State | IL |
Zip Code | 61107-5351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417142225 | Heritage Woods of Rockford | Assisted Living Facility | 202 N Show Place Dr, Rockford, IL 61107 | 2007-09-14 |
1538621107 | Cynthia Genrich | Specialist/Technologist, Other | 202 N Show Place Dr, Rockford, IL 61107-5351 | 2019-04-03 |
1447720727 | Debra Johnson Burns | Speech-Language Pathologist | 202 N Show Place Dr, Rockford, IL 61107-5351 | 2018-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
Find all providers in zip 61107 |
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 |
---|---|---|---|---|
1134654031 | Kiley Wallden | Occupational Therapist | 4617 White Oak Ave, Rockford, IL 61114-6235 | 2017-04-27 |
1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
1043672611 | Ann Licari | Occupational Therapist | 4123 Singleton Rd, Rockford, IL 61114-6159 | 2016-03-23 |
1497142616 | Adrienne Samuel | Occupational Therapist | 2123 Clinton St, Rockford, IL 61103-4104 | 2015-04-26 |
1417394099 | Jensine Houghton | Occupational Therapist | 4010 Woodhill Ct, Rockford, MN 55373-9105 | 2013-05-23 |
1194048041 | Nita Patel | Occupational Therapist | 960 Tulip Ln Apt 4, Rockford, IL 61107-5738 | 2010-03-07 |
1336377993 | Colleen Mary Mcdonald | Occupational Therapist | 417 N Rockford Ave, Rockford, IL 61107-4548 | 2009-06-23 |
1831368463 | Jennifer Papoccia | Occupational Therapist | 1411 E Gate Pkwy, Rockford, IL 61108-6140 | 2008-02-28 |
1124297759 | Letitia Taylor | Occupational Therapist | 3250 Brook Harbour Dr, Rockford, IL 61114-6650 | 2008-02-28 |
1639375728 | Ellen M Marqua | Occupational Therapist | 3108 Rural St, Rockford, IL 61107-3461 | 2007-06-25 |
Find all providers in ROCKFORD |
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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.