KELLY MARIE ATHAIDE


Address: 1421 3rd St Sw, Roanoke, VA 24016-5204
Phone: 5409822208

KELLY MARIE ATHAIDE (NPI# 1760959381) 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) 1760959381
Entity Type Individual
Full Name KELLY MARIE ATHAIDE
Credential OT
Practice Address 1421 3rd St Sw
Roanoke
VA 24016-5204
Mailing Address 4511 Cresthill Dr
Roanoke
VA 24018-2909
Practice Telephone 5409822208
Enumeration Date 2018-11-01
Last Update Date 2018-11-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 0119007836 VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA OT LICENSE 0119007836 01

Office Location

Street Address 1421 3RD ST SW
City ROANOKE
State VA
Zip Code 24016-5204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982692323 Professional Therapies of Roanoke, Inc. Clinic/Center 1421 3rd St Sw, Roanoke, VA 24016-5204 2005-10-10
1275148983 Victoria Thomas Speech-Language Pathologist 1421 3rd St Sw, Roanoke, VA 24016-5204 2020-09-09
1154939197 Courtney Alissa Pinkard Occupational Therapist 1421 3rd St Sw, Roanoke, VA 24016-5204 2020-07-15
1083170823 Nicole Frey Occupational Therapist 1421 3rd St Sw, Roanoke, VA 24016-5204 2019-02-18
1760973754 Jacob Dulski Physical Therapist 1421 3rd St Sw, Roanoke, VA 24016-5204 2018-05-24
1568974772 Anna M. Morales Occupational Therapy Assistant 1421 3rd St Sw, Roanoke, VA 24016-5204 2017-10-27
1851800833 Kelsey A. Yoder Occupational Therapist 1421 3rd St Sw, Roanoke, VA 24016-5204 2017-09-22
1013435247 Neelesh N. Shah Physical Therapy Assistant 1421 3rd St Sw, Roanoke, VA 24016-5204 2017-09-08
1336667419 Tyler R Kelly Physical Therapy Assistant 1421 3rd St Sw, Roanoke, VA 24016-5204 2017-09-08
1730606344 Elizabeth M. Bowen Speech-Language Pathologist 1421 3rd St Sw, Roanoke, VA 24016-5204 2017-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134758329 Davis Andrew Sugar Student in an Organized Health Care Education/Training Program 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 2020-04-08
1356810659 Susanne Tribble Social Worker 202 Wells Ave Nw, Roanoke, VA 24016 2018-11-15
1801305818 Rena Lee Daye Driver 10 12th St. Sw, Roanoke, VA 24016 2017-09-21
1053841965 Christin Elledge Clark Nurse Practitioner 1234 Franklin Road, Roanoke, VA 24016 2017-06-13
1235685884 Helen Franck Physical Therapist 650 North Jefferson Street, Roanoke, VA 24016 2016-09-01
1457710238 Frances Marie Gaeta Social Worker 360 Campbell Ave, Roanoke, VA 24016 2016-02-22
1982073292 Sophie Mench Tranmer Physical Therapist 1421 Third St. Sw, Roanoke, VA 24016 2015-09-16
1982008181 National Counseling Group, Inc Psychiatry & Neurology 20 Walnut Avenue, Roanoke, VA 24016 2014-10-17
1366858342 National Counseling Group, Inc Psychiatry & Neurology 16 Walnut Avenue, Roanoke, VA 24016 2014-07-10
1427320878 Kristen L. Jagger Physical Medicine & Rehabilitation 1015 First Street Sw Suite 2, Roanoke, VA 24016 2012-02-01
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427688670 Ashley N Ingram Occupational Therapist 8249 Williamson Rd, Roanoke, VA 24019-6951 2020-01-16
1740820828 Legacy Healthcare Services Inc Occupational Therapist 3365 Ogden Rd, Roanoke, VA 24018-1151 2020-01-07
1932677432 Christina Marie Cornick Occupational Therapist 806 Wasena Ave Sw Apt 409, Roanoke, VA 24015-5354 2018-11-02
1487156642 Ashley Nicole Ries Occupational Therapist 605 N Jefferson St, Roanoke, VA 24016-1401 2018-03-05
1962915066 Stephanie A Peck Occupational Therapist 1327 Grandin Rd Sw # 243, Roanoke, VA 24015-2349 2017-11-10
1063878882 Mary Antoinette Lewis Occupational Therapist 3029 Winterberry Dr, Roanoke, VA 24018-2865 2016-01-08
1588058176 Elizabeth Anne Landry Occupational Therapist 2228 Mountain View Ter Sw, Roanoke, VA 24015-5544 2015-03-23
1538550009 Renee Loren Ferris Occupational Therapist 2343 Moir St Ne, Roanoke, VA 24012-6527 2015-02-05
1679961312 Germaine Largen Occupational Therapist 2554 Winifred Dr Sw, Roanoke, VA 24018-2508 2015-01-05
1689083974 Ashley Berger Occupational Therapist 901 Byrne St Sw, Roanoke, VA 24015-5547 2014-08-12
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City ROANOKE
Zip Code 24016

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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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