MR. KIMMICHAEL BOLOGNINI


Address: 2793 Kingsmill Ave, Melbourne, FL 32934-7582
Phone: 3216263699

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 16941 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2793 KINGSMILL AVE
City MELBOURNE
State FL
Zip Code 32934-7582

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City MELBOURNE
Zip Code 32934

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Dataset Information

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.

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