JILLENE MCMINN BLACK (NPI# 1891941431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891941431 |
| Entity Type | Individual |
| Full Name | JILLENE MCMINN BLACK |
| Credential | OTR |
| Practice Address |
1145 E 13th Ave Broomfield CO 80020-1301 |
| Practice Telephone | 3034666308 |
| Practice Fax Number | 3034661224 |
| Mailing Telephone | 3034666308 |
| Mailing Fax Number | 3034661224 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 0278321 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | AA439869 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1145 E 13TH AVE |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548479561 | Bal Swan Children's Center | Physical Therapist | 1145 E 13th Ave, Broomfield, CO 80020-1301 | 2007-05-22 |
| 1841760774 | Meighan Connolly | Occupational Therapist | 1145 E 13th Ave, Broomfield, CO 80020-1301 | 2018-12-04 |
| 1952871543 | Elise Spector | Occupational Therapist | 1145 E 13th Ave, Broomfield, CO 80020 | 2018-11-27 |
| 1114446556 | Katherine Krumm Erley | Occupational Therapist | 1145 E 13th Ave, Broomfield, CO 80020-1301 | 2017-09-18 |
| 1417476979 | Michelle Diane Cox | Occupational Therapist | 1145 E 13th Ave, Broomfield, CO 80020-1301 | 2017-09-15 |
| 1609023266 | Helen L Q Holden | Speech-Language Pathologist | 1145 E 13th Ave, Broomfield, CO 80020-1301 | 2008-08-25 |
| 1629225461 | Laura Messmer | Physical Therapist | 1145 E 13th Ave, Broomfield, CO 80020-1301 | 2008-08-22 |
| 1679729933 | Kimberly J Lewan | Physical Therapist | 1145 E 13th Ave, Broomfield, CO 80020-1301 | 2008-08-18 |
| 1831345164 | Melissa Cain | Speech-Language Pathologist | 1145 E 13th Ave, Broomfield, CO 80020-1301 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| 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 |
|---|---|---|---|---|
| 1184102527 | Kristina Elizabeth Rainwater | Occupational Therapist | 3303 W 144th Ave #207, Broomfield, CO 80023 | 2018-07-28 |
| 1922591478 | Stephanie N Hornback | Occupational Therapist | 12975 Sheridan Blvd # 1477, Broomfield, CO 80020-1477 | 2018-06-10 |
| 1841790755 | Mountain Kids Ot LLC | Occupational Therapist | 2874 Potosi Pl, Broomfield, CO 80023-4659 | 2018-02-16 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1407392335 | Carol Lynn Spicer | Occupational Therapist | 1075 Emerald St, Broomfield, CO 80020-1849 | 2017-01-17 |
| 1154864429 | Cassandra Openshaw | Occupational Therapist | 120 Edgeview Dr Apt 5208, Broomfield, CO 80021-8091 | 2016-11-18 |
| 1821459124 | Jordan Spiering | Occupational Therapist | 11001 W 120th Ave Ste 310, Broomfield, CO 80021-3493 | 2016-03-14 |
| 1811389968 | Jennifer Dawn Oropesa | Occupational Therapist | 13461 Sheridan Blvd, Broomfield, CO 80020-1362 | 2015-02-26 |
| 1609296755 | Adam Kosofsky | Occupational Therapist | 10901 W 120th Ave Ste 380, Broomfield, CO 80021-3431 | 2014-04-16 |
| 1558606509 | Shelly Stark | Occupational Therapist | 16671 Trinity Loop, Broomfield, CO 80023-4670 | 2012-12-03 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
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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.