MS. KELLY A BAGDASSIAN (NPI# 1891061719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891061719 |
| Entity Type | Individual |
| Full Name | MS. KELLY A BAGDASSIAN |
| Practice Address |
1302 Melvin Ave Racine WI 53402-4150 |
| Practice Telephone | 2624128320 |
| Mailing Telephone | 2624128320 |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2012-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.006671 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1302 MELVIN AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53402-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| 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 |
|---|---|---|---|---|
| 1801164603 | Sally Anne Graceffa | Occupational Therapist | 919 Lathrop Ave, Racine, WI 53405-2339 | 2011-12-07 |
| 1497082408 | Patricia S Friss | Occupational Therapist | 2524 Coolidge Ave, Racine, WI 53403-3126 | 2009-11-11 |
| 1952595977 | Stephanie Clausen-kubarth | Occupational Therapist | 359 13th Ave, Racine, WI 53403-9655 | 2007-09-03 |
| 1346434834 | Wendy Ann Miklaszewski | Occupational Therapist | 1205 Lancelot Ln, Racine, WI 53406-2428 | 2007-08-28 |
| 1275754293 | Carrie M Krupar | Occupational Therapist | 1700 Ca Becker Dr, Racine, WI 53406 | 2007-05-01 |
| 1669697843 | Carmen Lynn Kutsch | Occupational Therapist | 2448 Dover Cir, Racine, WI 53406-1419 | 2007-04-14 |
| 1871638957 | Melissa Leeann Bigelow | Occupational Therapist | 8948 Rasmussen Ct, Racine, WI 53406-1668 | 2007-02-20 |
| 1295218147 | Alexandra Erickson | Occupational Therapist | 1320 S Green Bay Rd, Racine, WI 53406 | 2018-09-06 |
| 1366898934 | Nora Lynch | Occupational Therapist | 6101 16th St, Racine, WI 53406-4467 | 2016-05-12 |
| 1407200090 | Kathryn Kalinosky | Occupational Therapist | 1700 C A Becker Dr, Racine, WI 53406-4714 | 2016-04-20 |
| Find all providers in RACINE | ||||
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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.