CHRISTINE PETACCIA (NPI# 1821599325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821599325 |
| Entity Type | Individual |
| Full Name | CHRISTINE PETACCIA |
| Credential | MS OTR/L |
| Practice Address |
137 S Courtenay Pkwy Apt 1379 Merritt Island FL 32952-4843 |
| Practice Telephone | 3212987025 |
| Mailing Telephone | 3212987025 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT14854 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 46TR00306500 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL HF MEDICARE | PENDING | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 S Courtenay Pkwy Ste B, Merritt Island, FL 329524807 | 9999999999 |
| Street Address |
137 S COURTENAY PKWY APT 1379 |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32952-4843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761673 | Pushpa Daliya | Physical Medicine & Rehabilitation | 1200 S Courtenay Pkwy, Merritt Island, FL 32952 | 2018-12-05 |
| 1407335458 | Merritt Island Outpatient Surgery Center, LLC | Clinic/Center | 450 E Merritt Island Cswy Ste 400, Merritt Island, FL 32952 | 2018-08-10 |
| 1760903272 | Harold A Utt Jr. | Audiologist | 105 N. Banana River Drive, Merritt Island, FL 32952 | 2017-07-06 |
| 1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
| 1891230884 | Jessica Orcel | Behavioral Analyst | 1680 E. Central Avenue, Merritt Island, FL 32952 | 2016-12-29 |
| 1770039539 | Haley Haskins | Student in an Organized Health Care Education/Training Program | 1655 Yates Dr., Merritt Island, FL 32952 | 2016-08-31 |
| 1891150900 | Kristin Stevenson | Case Management | 262 Island Beach Blvd, Mirritt Island, FL 32952 | 2015-12-17 |
| 1568835080 | Brilliant Smiles Orthodontics | Health Maintenance Organization | 455 Magnolia Avenue, Merritt Island, FL 32952 | 2015-11-05 |
| 1184967184 | Roseann Judith Simone | Assisted Living Facility | 280 Bahama Dr, Angel Guardian, Cocoa Beach, FL 32952 | 2013-03-28 |
| 1942558861 | Daven H Patel | Dentist | 800 E. Merritt Island Causeway, Merritt Island, FL 32952 | 2012-08-27 |
| Find all providers in zip 32952 | ||||
| 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 |
|---|---|---|---|---|
| 1518566595 | Erika Bree Williams | Occupational Therapist | 250 N Banana River Dr Apt F11, Merritt Island, FL 32952-2585 | 2020-10-21 |
| 1891066882 | Alicia Lynn Hendrix | Occupational Therapist | 290 Diana Blvd, Merritt Island, FL 32953-3165 | 2012-01-23 |
| 1073837696 | Jeannette A Harris | Occupational Therapist | 8584 Eden Isles Lane, Merritt Island, FL 32952-6800 | 2010-03-25 |
| 1417189036 | Linda A Bennett | Occupational Therapist | 405 Poi Ct, Merritt Island, FL 32953-3226 | 2009-08-14 |
| 1063035418 | Rachel Nicole Engel | Occupational Therapist | 1395 N Courtenay Pkwy Ste 102, Merritt Island, FL 32953-4474 | 2020-05-20 |
| 1700367844 | Valerie Leah Heiring | Occupational Therapist | 500 Crockett Blvd, Merritt Island, FL 32953-5034 | 2018-08-27 |
| 1982020566 | Karen Rathgeber | Occupational Therapist | 8584 Eden Isles Ln, Merritt Island, FL 32952-6800 | 2014-03-06 |
| 1619271673 | Chessie Francis Pryor | Occupational Therapist | 595 N Courtenay Pkwy, #203, Merritt Island, FL 32953-4851 | 2011-01-06 |
| 1487956777 | Lauren Lynch | Occupational Therapist | 1395 N Courtenay Pkwy, 102, Merritt Island, FL 32953-4400 | 2010-11-19 |
| 1780910711 | Alisa Parker | Occupational Therapist | 8584 Eden Isles Ln, Merritt Island, FL 32952-6800 | 2009-10-27 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32952 |
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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.