DR. KRISTIE LEE CHISHOLM (NPI# 1821560673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821560673 |
| Entity Type | Individual |
| Full Name | DR. KRISTIE LEE CHISHOLM |
| Practice Address |
12711 Milan Way Bowie MD 20715-1611 |
| Mailing Address |
258 Moreau Ln Severna Park MD 21146-2158 |
| Practice Telephone | 4109359150 |
| Mailing Telephone | 4109359150 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 03090 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12711 MILAN WAY |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057408 | Dominique Barrett | Speech-Language Pathologist | 12711 Milan Way, Bowie, MD 20715-1611 | 2020-09-15 |
| 1427609825 | Bilal Tariq | Speech-Language Pathologist | 12711 Milan Way, Bowie, MD 20715-1611 | 2019-09-26 |
| 1619440815 | Jodie-ann Shaw Hodge | Speech-Language Pathologist | 12711 Milan Way, Bowie, MD 20715-1611 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| 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 |
|---|---|---|---|---|
| 1982254421 | Oluwatosin Ogunkoya | Occupational Therapist | 2614 Nemo Ct, Bowie, MD 20716-1461 | 2019-09-17 |
| 1265092688 | Katherine Fitzgerald | Occupational Therapist | 12603 Kilbourne Ln, Bowie, MD 20715-2648 | 2019-06-18 |
| 1285105551 | Marian Cynthia Blanding-felton | Occupational Therapist | 4802 Reston Ln, Bowie, MD 20715-3224 | 2018-12-16 |
| 1497226757 | Margaret Mary Hare | Occupational Therapist | 4003 Croydon Ln, Bowie, MD 20715-1365 | 2018-12-16 |
| 1316418684 | Darlene Victoria Fitts | Occupational Therapist | 7413 Quail Ridge Ln, Bowie, MD 20720-4350 | 2018-12-16 |
| 1376013177 | Janet Noronha | Occupational Therapist | 8703 Bryant Ct, Bowie, MD 20720-4424 | 2018-12-05 |
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1912492257 | Mosaddegh Physical Therapy Inc. | Occupational Therapist | 6915 Laurel - Bowie Rd, Ste 100, Bowie, MD 20715-1703 | 2018-06-28 |
| 1548796758 | Wendy Dawn Trantham Fitts | Occupational Therapist | 216 Driftwood, Bowie, TX 76230-0228 | 2017-05-08 |
| 1033657697 | Nikya Yadira Anderson | Occupational Therapist | 417 Jordon Pond Ln, Bowie, MD 20721-7258 | 2017-02-03 |
| Find all providers in BOWIE | ||||
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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.