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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119007836 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OT LICENSE | 0119007836 | 01 |
| Street Address |
1421 3RD ST SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-5204 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 24016 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on KELLY MARIE ATHAIDE.
| 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.