KELLY SIMON (NPI# 1841799384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841799384 |
| Entity Type | Individual |
| Full Name | KELLY SIMON |
| Practice Address |
5901 Palisade Ave Bronx NY 10471-1205 |
| Mailing Address |
6 Pittsford Way Nanuet NY 10954-3518 |
| Practice Telephone | 7185811000 |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2018-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 022227-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124596028 | Kelly Marie Simon | Physical Therapist | 801 Merrick Ave, East Meadow, NY 11554-4748 | 2018-11-08 |
| 1164916151 | Kelly Simon | Counselor | 12918 63rd Ave N, Maple Grove, MN 55369-6001 | 2018-06-21 |
| 1225534001 | Kelly Simon | Dietitian, Registered | 6433 W Park Ave, Houma, LA 70364-2238 | 2018-04-02 |
| Street Address |
5901 PALISADE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10471-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669468740 | Zachary Julian Palace | Internal Medicine | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2005-09-23 |
| 1326656638 | Catherine Eileen Kennedy | Speech-Language Pathologist | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2020-07-22 |
| 1770123234 | Meredith Meyer | Occupational Therapist | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2020-01-13 |
| 1972065969 | Jamie Halpern | Occupational Therapist | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2019-04-01 |
| 1700357357 | Colleen Mary Kerrisk | Occupational Therapist | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2018-12-07 |
| 1396225603 | Lauren Meeley | Occupational Therapist | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2018-08-16 |
| 1619454170 | Logan Walsh | Speech-Language Pathologist | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2018-07-26 |
| 1992282990 | Holly Vassello | Occupational Therapist | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2018-07-23 |
| 1972089381 | Jayne Hertko | Speech-Language Pathologist | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2018-07-18 |
| 1477040145 | Melanie R Cirangle | Occupational Therapist | 5901 Palisade Ave, Bronx, NY 10471-1205 | 2018-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1124579529 | Joselyne Bararwandika | Registered Nurse | 385 W 263rd St, Bronx, NY 10471 | 2016-10-20 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1720443047 | The Hebrew Home for The Aged At Riverdale | Clinic/Center | 5901 Palisade Avenue, Riverdale, NY 10471 | 2015-12-31 |
| 1073989570 | Laura Maria Luciano | Social Worker | 5676 Riverdale Ave Suite 202, Riverdale Mental Health Association, Bronx, NY 10471 | 2015-08-19 |
| 1043607419 | Bianca Rodriguez | Social Worker | 6211 Broadway, 5h, Bronx, NY 10471 | 2015-04-23 |
| 1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
| 1891186045 | Maria Caceres | Radiologic Technologist | 216 Foster Pl, Bronx, NY 10471 | 2015-02-10 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1699101824 | Jaeyong Choi | Registered Nurse | 600 West 246th St., Apt 205, Bronx, NY 10471 | 2013-09-19 |
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| 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 |
|---|---|---|---|---|
| 1679172134 | Phyllis Imade | Occupational Therapist | 1168 Forest Ave, Bronx, NY 10456-5462 | 2020-10-25 |
| 1922605617 | Victoria R Fichter | Occupational Therapist | 3377 Agar Pl, Bronx, NY 10465-1367 | 2020-10-06 |
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1659986727 | Carron A Logan | Occupational Therapist | 945 Arnow Ave # 3, Bronx, NY 10469-3905 | 2020-09-15 |
| 1306451729 | Genevieve Leclerc | Occupational Therapist | 1600 Sedgwick Ave Apt 4g, Bronx, NY 10453-6609 | 2020-09-11 |
| 1023626777 | Khudia Fall | Occupational Therapist | 1653 Allerton Ave Fl 2, Bronx, NY 10469-6128 | 2020-07-20 |
| 1811515117 | Jose Manuel Tineo | Occupational Therapist | 1461 Grand Concourse Apt 6a, Bronx, NY 10452-6654 | 2020-07-13 |
| 1073134680 | Nina T Suss | Occupational Therapist | 3777 Independence Ave Apt 3l, Bronx, NY 10463-1412 | 2020-05-05 |
| 1386271120 | Gabriella Levine | Occupational Therapist | 1 Fordham Plz Fl 8, Bronx, NY 10458-5871 | 2020-03-23 |
| 1225665136 | Rachael Kahan | Occupational Therapist | 1 Fordham Plz Fl Doe8, Bronx, NY 10458-5871 | 2020-03-23 |
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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.