MRS. KELLY MARIE CHRISTIANSEN (NPI# 1780741579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780741579 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MARIE CHRISTIANSEN |
| Credential | OTRL |
| Practice Address |
40w310 Lafox Rd Suite 1a St Charles IL 60175-6588 |
| Mailing Address |
1025 Crane Pt Elgin IL 60124-7885 |
| Practice Telephone | 6304440078 |
| Mailing Telephone | 6304522422 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056007899 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
40W310 LAFOX RD SUITE 1A |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60175-6588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164947198 | Paige Taylor Suwanski | Speech-Language Pathologist | 40w310 Lafox Rd, St Charles, IL 60175-6588 | 2017-08-10 |
| 1679010409 | Monica Joanna Walen | Occupational Therapist | 40w310 Lafox Rd, Suite A1/b1, St Charles, IL 60175-6588 | 2017-01-31 |
| 1417400904 | Sarah Marie Russell | Speech-Language Pathologist | 40w310 Lafox Rd, St Charles, IL 60175-6588 | 2016-08-01 |
| 1720531783 | Elizabeth Hidaka | Speech-Language Pathologist | 40w310 Lafox Rd, Unit A1, St Charles, IL 60175-6588 | 2016-07-26 |
| 1356702955 | Marissa Markham | Occupational Therapist | 40w310 Lafox Rd, St Charles, IL 60175-6588 | 2016-03-10 |
| 1316336290 | Kelsey Mallon | Speech-Language Pathologist | 40w310 Lafox Rd, Suite 1 A-b, St Charles, IL 60175-6588 | 2015-01-15 |
| 1902214745 | Abigail Kreibich | Speech-Language Pathologist | 40w310 Lafox Rd, Suite A1-b1, St Charles, IL 60175-6588 | 2014-07-24 |
| 1053725952 | Amanda Wallace | Speech-Language Pathologist | 40w310 Lafox Rd, Suite A1/b1, St Charles, IL 60175-6588 | 2014-06-18 |
| 1740692037 | Laura Moehrlin | Occupational Therapist | 40w310 Lafox Rd, St Charles, IL 60175-6588 | 2014-05-21 |
| 1215219290 | Sarah Elsa O'connor | Speech-Language Pathologist | 40w310 Lafox Rd, #1a, St Charles, IL 60175-6588 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740733138 | Ryan Paul Kuebler | Dentist | 40w320 La Fox Rd., Suite D, St Charles, IL 60175 | 2016-08-02 |
| 1346602554 | Erica Witkowski | Specialist/Technologist | 6n 370 Crescent Lane, Saint Charles, IL 60175 | 2016-03-26 |
| 1437495728 | Bradley S Murison | Physical Therapist | 3381 W State St., Suite 100, St Charles, IL 60175 | 2012-12-14 |
| 1942507355 | Fox River & Countryside Fire/rescue District | Ambulance | 35w350 Carl Lee Road, St Charles, IL 60175 | 2011-02-21 |
| 1871825984 | Fay E Jackson | Counselor | 3140 W Route 64, St. Charles, IL 60175 | 2010-02-01 |
| 1801126941 | Philip James Kocisko | Counselor | 3140 W. Route 64, Saint Charles, IL 60175 | 2010-01-13 |
| 1891971529 | Caroline M Bollentino | Speech-Language Pathologist | 40w310 La Fox Rd, Suite A1-b1, St Charles, IL 60175 | 2008-01-11 |
| 1770783599 | Joy O Urubusi | Psychiatry & Neurology | 3825 Campton Hills Road, St Charles, IL 60175 | 2007-07-19 |
| 1225236052 | Anna Almase Medina | Dentist | 2445 Dean, 1c, St Charles, IL 60175 | 2007-07-03 |
| 1467666453 | Shelly Sinatra | Nurse Practitioner | 3310 W. Main St, Suite 200, St. Charles, IL 60175 | 2007-05-09 |
| Find all providers in zip 60175 | ||||
| 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 |
|---|---|---|---|---|
| 1154961829 | Neurobeat LLC | Occupational Therapist | 201 N Tyler Rd, St Charles, IL 60174-2362 | 2020-01-10 |
| 1457828261 | Mike Kelvin Tolentino Esguerra | Occupational Therapist | 201 N Tyler Rd Apt 233, St Charles, IL 60174-2356 | 2018-10-30 |
| 1750675203 | Sharon Seitzinger | Occupational Therapist | 964 N 5th Ave Ste C, St Charles, IL 60174-1204 | 2011-06-01 |
| 1437459401 | Lisa Ceinski | Occupational Therapist | 40w002 Margaret Mitchell St, St Charles, IL 60175-6506 | 2010-10-25 |
| 1770623381 | Lynn Chassee | Occupational Therapist | 62 Whittington Crse, St Charles, IL 60174-5787 | 2007-02-06 |
| 1578107165 | Jacqueline Leeseberg | Occupational Therapist | 3815 E Main St Ste B, St Charles, IL 60174-2488 | 2019-11-06 |
| 1710530829 | Rebecca Schisler | Occupational Therapist | 975 N 5th Ave, St Charles, IL 60174-1299 | 2019-07-17 |
| 1396263091 | Jennie Stellato | Occupational Therapist | 1304 Ronzheimer Ave, St Charles, IL 60174-4450 | 2017-09-01 |
| 1548788243 | Rona Lee Henne | Occupational Therapist | 1304 Ronzheimer Ave, St Charles, IL 60174-4450 | 2017-09-01 |
| 1679010409 | Monica Joanna Walen | Occupational Therapist | 40w310 Lafox Rd, Suite A1/b1, St Charles, IL 60175-6588 | 2017-01-31 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60175 |
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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.