MR. KIMMICHAEL BOLOGNINI (NPI# 1871108340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871108340 |
Entity Type | Individual |
Full Name | MR. KIMMICHAEL BOLOGNINI |
Credential | COTA/L |
Practice Address |
2793 Kingsmill Ave Melbourne FL 32934-7582 |
Practice Telephone | 3216263699 |
Mailing Telephone | 3216263699 |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-09-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 16941 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2793 KINGSMILL AVE |
City | MELBOURNE |
State | FL |
Zip Code | 32934-7582 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
Find all providers in zip 32934 |
Taxonomy Code | 224Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapy Assistant |
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477192391 | Andrew Sulser | Occupational Therapy Assistant | 5003 Indigo Way, Melbourne, FL 32940-1443 | 2019-12-23 |
1083182075 | Natalie Christine Zilli | Occupational Therapy Assistant | 4241 N Us Highway 1, Melbourne, FL 32935-4822 | 2018-11-07 |
1710452842 | Shantrell Clayton | Occupational Therapy Assistant | 2154 Cedarwood Dr, Melbourne, FL 32935-6000 | 2018-10-04 |
1093292088 | Natalie Harris | Occupational Therapy Assistant | 4335 Milwaukee Ave, Melbourne, FL 32904-6140 | 2018-07-23 |
1346736980 | Michelle Mohr | Occupational Therapy Assistant | 1480 Autumn Woods Dr, Melbourne, FL 32935-5344 | 2018-07-06 |
1407341365 | Mona-liza Snyder | Occupational Therapy Assistant | 1300 Corbett Ln, Melbourne, FL 32904-6435 | 2018-06-24 |
1821534108 | Tina A. Wills | Occupational Therapy Assistant | 347 Myrtlewood Rd, Melbourne, FL 32940-7768 | 2017-01-11 |
1336590918 | Alejandra Reyes | Occupational Therapy Assistant | 115 Crown Blvd, Melbourne, FL 32901-8624 | 2016-06-25 |
1700231966 | Kerri Hanger | Occupational Therapy Assistant | 715 Clarke Ave, Melbourne, FL 32935-3022 | 2016-04-25 |
1063886430 | Faye Young | Occupational Therapy Assistant | 1207 River Dr, Apt 8, Melbourne, FL 32901-7358 | 2015-11-22 |
Find all providers in MELBOURNE |
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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.