BREELYN NOEL KIDD (NPI# 1780236141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780236141 |
| Entity Type | Individual |
| Full Name | BREELYN NOEL KIDD |
| Credential | COTA/L |
| Practice Address |
104 Maxwell Ave Ste 312 Greenwood SC 29646-2641 |
| Practice Telephone | 8642297529 |
| Practice Fax Number | 8642297530 |
| Mailing Telephone | 8642297529 |
| Mailing Fax Number | 8642297530 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 4883 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
104 MAXWELL AVE STE 312 |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806486 | Chelsea Quinn Hatcher | Occupational Therapy Assistant | 104 Maxwell Ave Ste 312, Greenwood, SC 29646-2641 | 2020-09-18 |
| 1093345258 | Jasmine Williams | Occupational Therapist | 104 Maxwell Ave Ste 312, Greenwood, SC 29646-2641 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821632795 | Morgan Nicole Seay | Occupational Therapy Assistant | 6414 Hartsfield Rd, Greenwood, FL 32443-2036 | 2019-11-04 |
| 1942730809 | Tina Rapley | Occupational Therapy Assistant | 108 Price Dr, Greenwood, SC 29646-9400 | 2017-06-14 |
| 1710337340 | Erin Houston | Occupational Therapy Assistant | 1025 Hamilton Cir, Greenwood, AR 72936-3032 | 2016-06-14 |
| 1184079303 | Nicole Faith Holland | Occupational Therapy Assistant | 1210 Stillwater Ct, Greenwood, IN 46142-1254 | 2016-04-25 |
| 1134493174 | Crystal Miller | Occupational Therapy Assistant | 456 Walnut Woods Dr, Greenwood, IN 46142-7547 | 2012-03-07 |
| 1275802761 | Casey Jo Bender | Occupational Therapy Assistant | 1106 Park Dr, Greenwood, MO 64034-9344 | 2011-12-29 |
| 1801172655 | Rochelle Robey | Occupational Therapy Assistant | 502 Northgate Dr, Greenwood, IN 46143-1244 | 2011-10-25 |
| 1407149032 | Carolyn Michelle Robey | Occupational Therapy Assistant | 328 Farmhouse Ln Apt H, Greenwood, IN 46143-7142 | 2011-05-16 |
| 1740507953 | Leah Rosanne Mccauley | Occupational Therapy Assistant | 306 17th Ave S, Greenwood, MO 64034-9758 | 2010-04-27 |
| 1083948319 | Heidi Lisa Whitrock | Occupational Therapy Assistant | 1111 Devonshire East Dr, # J, Greenwood, IN 46143-6959 | 2009-09-18 |
| Find all providers in GREENWOOD | ||||
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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.