KRISTEN ELIZABETH SHACKELFORD


Address: 598 Searsmont Rd, Appleton, ME 04862-6405
Phone: 2077852576

KRISTEN ELIZABETH SHACKELFORD (NPI# 1760698054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760698054
Entity Type Individual
Full Name KRISTEN ELIZABETH SHACKELFORD
Other Name KRISTEN ELIZABETH COLLINS
Credential MS, OTRL
Practice Address 598 Searsmont Rd
Appleton
ME 04862-6405
Mailing Address 598 Searsmont Rd
Appleton
ME 04862
Practice Telephone 2077852576
Mailing Telephone 2077852576
Enumeration Date 2007-05-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT1745 ME Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 598 SEARSMONT RD
City APPLETON
State ME
Zip Code 04862-6405

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1518203256 Patricia A Cochran Counselor 138 Mount Pleasant Road, Union, ME 04862 2012-12-28
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

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1700040870 Heidi Jo Van Toll Occupational Therapist 1335 S Oneida Street, Appleton, WI 54915 2008-07-17
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1689869950 Tammy Lynn Hall Occupational Therapist W6016 Cameo Ct, Appleton, WI 54915-7460 2007-09-10
1891916532 Janice Elaine Noffke Occupational Therapist 3301 E Canary St, Appleton, WI 54915-6126 2007-05-01
1396721320 Nicholas P Heinritz Occupational Therapist 279 Altenhofen Dr, Appleton, WI 54913 2005-12-21
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City APPLETON
Zip Code 04862

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Dataset Information

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.

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