KRISTYN MICHELLE COSTIN (NPI# 1811533367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811533367 |
| Entity Type | Individual |
| Full Name | KRISTYN MICHELLE COSTIN |
| Practice Address |
1329 Applegate Ln Clarksville IN 47129-9612 |
| Mailing Address |
90 Howard Dr Shelbyville KY 40065-8138 |
| Practice Telephone | 5026331007 |
| Practice Fax Number | 5024370624 |
| Mailing Telephone | 5026331007 |
| Mailing Fax Number | 5024370624 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31007042A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1329 APPLEGATE LN |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129-9612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326265844 | Jodi Lynn Goodin | Psychologist | 1329 Applegate Ln, Southern Indiana Rehabilitation Hosptial, Clarksville, IN 47129 | 2007-04-18 |
| 1871105809 | Natalie Joyce Keller | Speech-Language Pathologist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2020-08-20 |
| 1285246215 | Margaret Charlene Farris | Speech-Language Pathologist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2020-08-20 |
| 1942812987 | Claire Elizabeth Dooley | Speech-Language Pathologist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2020-08-20 |
| 1114545910 | Tabitha Leigh Ford | Specialist/Technologist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2020-07-08 |
| 1467926147 | Anne Bielefeld-schroeder | Speech-Language Pathologist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2019-01-16 |
| 1407320161 | Cathy Stewart | Physical Therapist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2019-01-16 |
| 1255805933 | Amber Applegate | Occupational Therapist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2019-01-16 |
| 1134690571 | Assocaites In Pediatric Therapy LLC | Occupational Therapist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2018-12-11 |
| 1144620915 | Carly Marie Bryant | Speech-Language Pathologist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2014-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| Find all providers in zip 47129 | ||||
| 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 |
|---|---|---|---|---|
| 1255946463 | Independent Physical Therapy, LLC | Occupational Therapist | 1011 Winn Way Ste 110, Clarksville, TN 37043-0614 | 2020-09-14 |
| 1528699667 | Jacob Golembeski | Occupational Therapist | 303 Emerson Ave, Clarksville, IN 47129-1419 | 2020-01-28 |
| 1780214924 | Yam Chan | Occupational Therapist | 6405 Kilbrogan Ct, Clarksville, MD 21029-1294 | 2020-01-16 |
| 1679017701 | Phillip Henry Richmond II | Occupational Therapist | 427 Woodale Dr, Clarksville, TN 37042-7113 | 2016-12-08 |
| 1417321522 | Amanda Chapman | Occupational Therapist | 252 Cheshire Rd, Clarksville, TN 37043-5862 | 2015-12-01 |
| 1659764975 | Terri Lynn Ellison | Occupational Therapist | 1430 Corporate Parkway Blvd, Clarksville, TN 37040-6196 | 2015-03-11 |
| 1053747469 | Cara Owens | Occupational Therapist | 210 Needmore Rd, Suite A, Clarksville, TN 37040-6993 | 2013-09-17 |
| 1750716874 | Amanda K Linck | Occupational Therapist | 325 E Lewis and Clark Pkwy, Clarksville, IN 47129-1725 | 2013-09-09 |
| 1982967600 | Victoria Lynne Singer | Occupational Therapist | 2812 Wakefield Dr, Clarksville, TN 37043-6054 | 2012-06-18 |
| 1043580467 | Joyse Lopata | Occupational Therapist | 3476 Oak Creek Dr, Clarksville, TN 37040-6172 | 2012-01-02 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
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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.