KELLY ANN PETERS (NPI# 1861423303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861423303 |
| Entity Type | Individual |
| Full Name | KELLY ANN PETERS |
| Credential | MA OTR/L |
| Practice Address |
9346 Oak Ave Waconia MN 55387 |
| Mailing Address |
9346 Oak Ave Waconia MN 55387-9422 |
| Practice Telephone | 9522232506 |
| Practice Fax Number | 9524432038 |
| Mailing Telephone | 9522232506 |
| Mailing Fax Number | 9524432038 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 103086 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10273 Yellow Circle Dr, Minnetonka, MN 553439144 | 9522232506 | 9524432038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174754261 | Kelly A Peters | Speech-Language Pathologist | 1579 E 85th Ave, Merrillville, IN 46410-8901 | 2009-08-06 |
| 1225091788 | Kelly Ann Peters | Physician Assistant | 10103 Ridgegate Pkwy 312, Lone Tree, CO 80124-5525 | 2006-04-07 |
| 1417430935 | Kelly Lee Peters | Nurse Practitioner | 4311 Wesley St, Greenville, TX 75401-5639 | 2018-09-11 |
| 1740778117 | Kelly Peters | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2018-05-01 |
| 1245699370 | Kelly Peters | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2016-02-17 |
| 1982060265 | Kelly Peters | Registered Nurse | 6205 Dominion Dr, Madison, WI 53718-3124 | 2016-01-03 |
| 1407236581 | Kelly Peters | Counselor | 6060 Ridge Ave, Suite 210, Philadelphia, PA 19128-1657 | 2015-06-04 |
| 1144666793 | Kelly Peters | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-05-21 |
| 1003155987 | Kelly Peters | Occupational Therapist | 8 5th St Se, Watertown, SD 57201-3713 | 2013-02-12 |
| 1790041481 | Kelly Peters | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2012-04-06 |
| Street Address |
9346 OAK AVE |
| City | WACONIA |
| State | MN |
| Zip Code | 55387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747302 | Emily Taylor Ludwigson | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-10-13 |
| 1598370868 | Paige Marie Harpenau | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-09-13 |
| 1023623790 | Kirstin Amber Peters | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-09-10 |
| 1073147641 | Eden Schwahn | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-02-23 |
| 1669005849 | Brittney J Perlich | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-02-17 |
| 1366075459 | Darcy Mclinden Holter | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-02-17 |
| 1275182347 | Cassondra Elizabeth Burklund | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-09-10 |
| 1912555723 | Sara Fox | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-08-27 |
| 1639724966 | Erika Ann Hall | Speech-Language Pathologist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-08-05 |
| 1881247567 | Samantha Jo Lanou | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| 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 |
|---|---|---|---|---|
| 1598157273 | Cassandra Kuntz | Occupational Therapist | 9346 Oak Avenue, Waconia, MN 55387-1080 | 2015-03-04 |
| 1336747302 | Emily Taylor Ludwigson | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-10-13 |
| 1598370868 | Paige Marie Harpenau | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-09-13 |
| 1023623790 | Kirstin Amber Peters | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2020-09-10 |
| 1275182347 | Cassondra Elizabeth Burklund | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-09-10 |
| 1659932184 | Haley Folkens | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-06-25 |
| 1588221501 | Megan Darrow | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-05-24 |
| 1780248419 | Amanda Lane | Occupational Therapist | 500 S Cherry St, Waconia, MN 55387-4515 | 2019-04-29 |
| 1861951667 | Katherine Wrazidlo | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2019-03-19 |
| 1306312285 | Koryssa Mcmorrow | Occupational Therapist | 9346 Oak Ave, Waconia, MN 55387-9422 | 2018-10-18 |
| Find all providers in WACONIA | ||||
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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.