MRS. NICOLE BLENDINA CROAK (NPI# 1780074625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780074625 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE BLENDINA CROAK |
| Credential | OTR/L |
| Practice Address |
85 River St Ste 7 Waltham MA 02453-8352 |
| Practice Telephone | 7816092514 |
| Mailing Telephone | 7816092514 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 7788 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
85 RIVER ST STE 7 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-8352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| 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 |
|---|---|---|---|---|
| 1326496977 | Caroline Phinney | Occupational Therapist | 1191 Main St Apt 3, Waltham, MA 02451-1753 | 2016-05-24 |
| 1437496445 | Kristen K. Stewart | Occupational Therapist | 185 Crescent St Apt 412, Waltham, MA 02453-3498 | 2013-01-10 |
| 1750654190 | Katherine R Haskins | Occupational Therapist | 220 Bear Hill Rd Ste 102, Waltham, MA 02451 | 2012-02-15 |
| 1356648802 | Emily Messner | Occupational Therapist | 27 Hammond St, Apt. A, Waltham, MA 02451-3684 | 2011-02-18 |
| 1285858704 | Maryellen Daigneault | Occupational Therapist | 977 Main Street, Waltham, MA 02451-7406 | 2007-04-13 |
| 1457477648 | Bethany Macleod | Occupational Therapist | 17 Dennison St, Waltham, MA 02453-3805 | 2007-03-21 |
| 1831255603 | Jennifer Connors Buxton | Occupational Therapist | 114 Whitman Rd, Waltham, MA 02453-6780 | 2006-12-28 |
| 1649330754 | Michele Lynn Landry | Occupational Therapist | Wayside Beaverbrook Early Intervention, 118 Central St., Waltham, MA 02453 | 2006-12-11 |
| 1194326173 | Catherine Duffy | Occupational Therapist | 465 Waverley Oaks Rd Ste 101, Waltham, MA 02452-8497 | 2020-11-05 |
| 1629676689 | Kristen Murphy | Occupational Therapist | 303 Wyman St Ste 300, Waltham, MA 02451-1255 | 2020-10-13 |
| Find all providers in WALTHAM | ||||
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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.