KATHRYN AMANDA PETERSON (NPI# 1821504895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821504895 |
| Entity Type | Individual |
| Full Name | KATHRYN AMANDA PETERSON |
| Credential | COTA/L |
| Practice Address |
2332 Liberty Dr Coralville IA 52241-2771 |
| Mailing Address |
4560 Se International Way Ste 100 Milwaukie OR 97222-4628 |
| Practice Telephone | 3195457390 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558417071 | Kathryn Louise Peterson | Massage Therapist | 401 Olympia Ave Ne, Suite 213, Renton, WA 98056-4117 | 2007-01-26 |
| 1851493340 | Kathryn Schulz Peterson | Occupational Therapist | 1122 Sw 5th St, Boca Raton, FL 33486-4518 | 2006-09-04 |
| 1003856634 | Kathryn Louise Peterson | Social Worker | 115 E Birch Ave, Flagstaff, AZ 86001-4609 | 2006-06-08 |
| 1659815371 | Kathryn Peterson | Behavior Technician | 2120 Sw Jefferson St, B200, Portland, OR 97201-7727 | 2016-12-14 |
| 1598039422 | Kathryn Marie Peterson | Behavioral Analyst | 2005 Dana Ln, Papillion, NE 68133-2339 | 2012-02-23 |
| 1487852406 | Kathryn M. Peterson | Counselor | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2007-07-11 |
| 1770626855 | Kathryn Patricia Peterson | Pediatrics | 3333 Burnet Ave, Ml 7009, Cincinnati, OH 45229-3026 | 2007-02-15 |
| 1225128846 | Kathryn Anne Peterson | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| Street Address |
2332 LIBERTY DR |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295723500 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2005-10-11 |
| 1639778871 | Mona Ali | Speech-Language Pathologist | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2020-10-20 |
| 1760029094 | Lindsay Engle | Occupational Therapy Assistant | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2019-12-05 |
| 1780226738 | Aaron Bradford Benson | Occupational Therapist | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2019-10-10 |
| 1841789989 | Madisson Miller | Occupational Therapist | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2018-05-03 |
| 1700313699 | Sara R Harms | Occupational Therapy Assistant | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2017-05-22 |
| 1366999138 | Reid Wilson | Physical Therapist | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2016-09-08 |
| 1366896037 | Caitlin Bielenberg | Speech-Language Pathologist | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2016-04-19 |
| 1891104204 | Michael Hannig | Physical Therapy Assistant | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2014-08-11 |
| 1134538648 | Amanda Snow | Physical Therapist | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2014-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
| 1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
| Find all providers in zip 52241 | ||||
| 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 |
|---|---|---|---|---|
| 1336540947 | Brooke Ann Goldsmith | Occupational Therapy Assistant | 1507 Olde Hickory Rd, Coralville, IA 52241-1118 | 2014-09-15 |
| 1568735116 | Jacqueline Naomie Lindeman | Occupational Therapy Assistant | 2332 Liberty Drive, Coralville, IA 52241 | 2012-02-13 |
| 1518581842 | Mattison Regan | Occupational Therapy Assistant | 2350 Oakdale Blvd, Coralville, IA 52241-9702 | 2020-06-02 |
| 1760029094 | Lindsay Engle | Occupational Therapy Assistant | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2019-12-05 |
| 1700313699 | Sara R Harms | Occupational Therapy Assistant | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2017-05-22 |
| 1275887788 | Kathy Jo Barnhart | Occupational Therapy Assistant | 2332 Liberty Dr., Coralville, IA 52241 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405525 | Stephanie Lynn Magner | Occupational Therapy Assistant | 1026 Ne 57th Ln, Ankeny, IA 50021-6919 | 2020-10-23 |
| 1104430842 | Caroline Lee Stevens | Occupational Therapy Assistant | 3510 Nw Abilene Rd, Ankeny, IA 50023-4878 | 2020-09-01 |
| 1215559158 | Musa Kibyegon Koech | Occupational Therapy Assistant | 14921 Summit Dr, Clive, IA 50325-7830 | 2020-05-14 |
| 1417588823 | Whitney Roling | Occupational Therapy Assistant | 210 N Salina St, Mc Causland, IA 52758-2301 | 2020-02-04 |
| 1699306050 | Anna Bauer | Occupational Therapy Assistant | 1549 34th St, Des Moines, IA 50311-2602 | 2020-02-03 |
| 1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
| 1629613716 | Rachel Cummer | Occupational Therapy Assistant | 17128 Northern Hills Drive, Dubuque, IA 52002-5200 | 2019-11-12 |
| 1104473917 | Taylor Harriman | Occupational Therapy Assistant | 3097 J Ave, North English, IA 52316-8553 | 2019-08-26 |
| 1932668332 | Kellie Hynick | Occupational Therapy Assistant | 909 S 9th St, Oskaloosa, IA 52577-3444 | 2019-03-15 |
| 1366900516 | Tina Marie Knight | Occupational Therapy Assistant | 509 Kruger St, Ottumwa, IA 52501-2757 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | CORALVILLE |
| Zip Code | 52241 |
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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.