LYNAE PETERSEN (NPI# 1871051961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871051961 |
| Entity Type | Individual |
| Full Name | LYNAE PETERSEN |
| Practice Address |
901 14th Ave Ne Watertown SD 57201-6817 |
| Mailing Address |
2965 E Tarpon Dr Ste 150 Meridian ID 83642-9007 |
| Practice Telephone | 6059544264 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT-1108 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
901 14TH AVE NE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-6817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083089825 | Edgewood Prairie Crossings Watertown Il LLC | Assisted Living Facility | 901 14th Ave Ne, Watertown, SD 57201-6817 | 2015-12-04 |
| 1568022002 | Sterling Hubbard | Physical Therapist | 901 14th Ave Ne, Watertown, SD 57201-6817 | 2019-06-17 |
| 1013490952 | Elizabeth Marie Nutsch | Occupational Therapist | 901 14th Ave Ne, Watertown, SD 57201-6817 | 2018-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| 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 |
|---|---|---|---|---|
| 1760089163 | Progressive Therapy LLC | Occupational Therapist | 1027 2nd St Nw, Watertown, SD 57201-1301 | 2020-10-08 |
| 1275191645 | Calicia Jean Moss | Occupational Therapist | 6157 Greenvale Rd, Watertown, TN 37184-3812 | 2019-05-31 |
| 1992282859 | Alyssa Nicole Tripi | Occupational Therapist | 123 Hospital Dr Ste 1008, Watertown, WI 53098-3320 | 2018-07-24 |
| 1730622390 | Allison Blake | Occupational Therapist | 319 Lovley Dr, Watertown, CT 06795-3162 | 2016-11-29 |
| 1548711542 | Marnie Hoftiezer | Occupational Therapist | 601 11th St Ne, Watertown, SD 57201-1833 | 2016-10-14 |
| 1184086076 | Lauren Willcox | Occupational Therapist | 200 Lewis Ave S Ste 210, Watertown, MN 55388-4547 | 2016-03-22 |
| 1093104812 | Lisa D Cooley | Occupational Therapist | 20104 Ny State Rte 3, Watertown, NY 13601-5560 | 2015-01-16 |
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1376895292 | Jeanie Marie Stockland | Occupational Therapist | 531 7th St Ne, Watertown, SD 57201-1848 | 2012-10-03 |
| 1881940120 | Kimberly Keegan | Occupational Therapist | 340 Bryant Rd, Watertown, CT 06795-1119 | 2012-07-24 |
| Find all providers in WATERTOWN | ||||
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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.