STACI PEGELOW (NPI# 1821425125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821425125 |
| Entity Type | Individual |
| Full Name | STACI PEGELOW |
| Practice Address |
73 Coldspring St Randolph NY 14772-9664 |
| Practice Telephone | 7169838985 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
73 COLDSPRING ST |
| City | RANDOLPH |
| State | NY |
| Zip Code | 14772-9664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104136985 | Deborah Jane Fischer | Registered Nurse | 4773 Windmill Rd., Randolph, NY 14772 | 2010-10-14 |
| 1215911979 | Walter Howard Warriner | Nurse Practitioner | 356 Main Street, Randolph, NY 14772 | 2005-12-05 |
| 1780994855 | Connie Lynne Mckay | Licensed Practical Nurse | 19 New St, Randolph, NY 14772-1013 | 2010-10-07 |
| 1174623359 | James G Mruk | Dentist | 11 School St, Randolph, NY 14772-1103 | 2006-09-25 |
| 1639567753 | Michelle Lynn Miller | Registered Nurse | 15 College Ave, Apt 1, Randolph, NY 14772-1105 | 2014-12-23 |
| 1629550264 | Alexa Dinapoli | Speech-Language Pathologist | 18 Main St, Randolph, NY 14772-1112 | 2018-08-30 |
| 1205117348 | Cheryl Wascher | Speech-Language Pathologist | 22 Main St, Randolph, NY 14772-1112 | 2011-09-02 |
| 1366723496 | Kathleen Janet Bushnell | Occupational Therapy Assistant | 18 Main St, Randolph, NY 14772-1112 | 2011-09-02 |
| 1144360033 | Randolph Central School District | Local Education Agency (LEA) | 22 Main St, Randolph, NY 14772-1112 | 2007-02-08 |
| 1184747511 | Gail Chester Sandy | Pharmacist | 117 Main St, Randolph, NY 14772-1116 | 2007-04-09 |
| Find all providers in zip 14772 | ||||
| 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 |
|---|---|---|---|---|
| 1326376955 | Jesse Higgins Fournier | Occupational Therapy Assistant | 35 Belmont Ave, Randolph, ME 04346-5107 | 2009-11-19 |
| 1720219496 | Eileen Leblanc | Occupational Therapy Assistant | 57 Waldo St, Randolph, MA 02368-1942 | 2009-07-29 |
| 1366723496 | Kathleen Janet Bushnell | Occupational Therapy Assistant | 18 Main St, Randolph, NY 14772-1112 | 2011-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466269 | Ashley Ann Alexander | Occupational Therapy Assistant | 1 E Palisades Ave, Nanuet, NY 10954-3345 | 2020-10-30 |
| 1811597891 | Esther Apter | Occupational Therapy Assistant | 56 Parker Blvd, Monsey, NY 10952-1440 | 2020-10-28 |
| 1932708443 | Kaylee Henriquez | Occupational Therapy Assistant | 8 Crown St, North Babylon, NY 11703-1803 | 2020-10-26 |
| 1619576337 | Dragonfly & Owl, LLC | Occupational Therapy Assistant | 1653 Ny-43, Averill Park, NY 12018 | 2020-10-23 |
| 1548869944 | Kristen Rose Schmidt | Occupational Therapy Assistant | 543 Wood Rd, Mahopac, NY 10541-3358 | 2020-10-19 |
| 1104423391 | Sviatlana Vialichka | Occupational Therapy Assistant | 8778 Bay Pkwy Fl 2, Brooklyn, NY 11214-5653 | 2020-10-01 |
| 1326652280 | Chantal Sendall | Occupational Therapy Assistant | 4377 Crescent Dr, Niagara Falls, NY 14305-1102 | 2020-09-08 |
| 1609489210 | Yearin Lim | Occupational Therapy Assistant | 770 James St Apt 705, Syracuse, NY 13203-2626 | 2020-08-25 |
| 1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
| 1497366520 | Bethany Lynn Fishman | Occupational Therapy Assistant | 4 Elm Ln, Greenville, NY 12083-1825 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.