KELLY BOLLI (NPI# 1841610599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841610599 |
| Entity Type | Individual |
| Full Name | KELLY BOLLI |
| Credential | OTR |
| Practice Address |
1905 W Hart Rd Beloit WI 53511-2230 |
| Practice Telephone | 6083652554 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5440-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1905 W HART RD |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184641532 | Christin J Brillhart | Occupational Therapist | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2006-07-15 |
| 1811518657 | Kecia Thompsongordon | Physical Therapy Assistant | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
| 1427679430 | Erica Duerst | Occupational Therapist | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2020-04-30 |
| 1912469149 | Trisha S Kloos | Physical Therapy Assistant | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2019-04-05 |
| 1124599303 | Beloit Operations LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2018-12-16 |
| 1023599347 | Katarina Djurica | Occupational Therapy Assistant | 1905 W Hart Rd, Beloit, WI 53511 | 2018-08-24 |
| 1467941070 | Beloit Nursing and Rehab, LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2018-05-09 |
| 1295252492 | Nsh Beloit LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2017-08-28 |
| 1275922148 | Fmg West Hart Road Wisconsin LLC | Skilled Nursing Facility | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2015-01-15 |
| 1669889549 | Ashley Giannini | Speech-Language Pathologist | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2014-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| 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 |
|---|---|---|---|---|
| 1346619343 | Kimberly Labott | Occupational Therapist | 3005 S Riverside Dr Ste 103, Beloit, WI 53511-1500 | 2015-09-20 |
| 1659631893 | Amanda J Stelzer | Occupational Therapist | 2739 Prairie Avenue, Beloit, WI 53511-2246 | 2012-05-22 |
| 1164706123 | Mary Jo Ehle | Occupational Therapist | 2611 Edgewood Dr, Beloit, WI 53511-7037 | 2011-10-07 |
| 1073760252 | Rebecca Marie Miller | Occupational Therapist | 620 Hillside Ave, Beloit, WI 53511-1770 | 2008-08-19 |
| 1952587123 | Deidra Kay Burks | Occupational Therapist | 815 N Independence, Beloit, KS 67420 | 2008-01-17 |
| 1861675514 | Kimberlee Joy Budke | Occupational Therapist | 815 North Independence, Beloit, KS 67420 | 2007-12-17 |
| 1831385368 | Aaron D Weber | Occupational Therapist | 1225 4th St, Beloit, WI 53511-4437 | 2007-09-18 |
| 1164554408 | Cathleen Joyce Kelly | Occupational Therapist | 120 N Lincoln Ave, Beloit, KS 67420 | 2007-03-12 |
| 1801932926 | Christina Fons | Occupational Therapist | 1904 E Huebbe Pkwy, Beloit, WI 53511-1843 | 2007-01-29 |
| 1184641532 | Christin J Brillhart | Occupational Therapist | 1905 W Hart Rd, Beloit, WI 53511-2230 | 2006-07-15 |
| Find all providers in BELOIT | ||||
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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.