AMY DOMINICA SECRET (NPI# 1912212614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912212614 |
| Entity Type | Individual |
| Full Name | AMY DOMINICA SECRET |
| Practice Address |
218 Laurel Creek Ct Spruce Pine NC 28777-3134 |
| Mailing Address |
600 Ridge Rd Blairsville GA 30512-3923 |
| Practice Telephone | 8287657312 |
| Mailing Telephone | 8283331558 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4054 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
218 LAUREL CREEK CT |
| City | SPRUCE PINE |
| State | NC |
| Zip Code | 28777-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710008669 | Ssc Spruce Pine Operating Company LLC | Custodial Care Facility | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2007-04-02 |
| 1255989158 | Misty Lynn Dotts | Nurse Practitioner | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2019-09-03 |
| 1952967796 | Brittany Alyssa Dalama | Occupational Therapy Assistant | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2019-05-17 |
| 1699331447 | Kara M Herr | Occupational Therapy Assistant | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2019-05-17 |
| 1386200202 | Ally Long | Physical Therapy Assistant | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2019-05-16 |
| 1003472093 | Cheryl K Wright | Physical Therapy Assistant | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2019-05-15 |
| 1922664002 | Katherine L Mcdonald-coxen | Speech-Language Pathologist | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2019-05-14 |
| 1629502588 | Karla Co | Physical Therapist | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2017-04-18 |
| 1205206844 | Kelly Kaye Kulpa | Physical Therapist | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2015-09-25 |
| 1093068827 | Zachary Wermers | Physical Therapist | 218 Laurel Creek Ct, Spruce Pine, NC 28777-3134 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013405265 | Spruce Pine Chiropractic, Pllc | Clinic/Center | 31 Cross Street, Suite 266, Spruce Pine, NC 28777 | 2018-04-24 |
| 1326463316 | Susan Lynn Lamont | Counselor | 2206 Carters Ridge Rd, Spruce Pine, NC 28777 | 2014-02-27 |
| 1548521115 | Mitchell House One, LLC | Assisted Living Facility | 13681 Hwy 226 South, Spruce Pine, NC 28777 | 2012-05-31 |
| 1245590025 | Lisa Wade Thomas | Hearing Instrument Specialist | 11887 S. P. Shopping Ctr, Spruce Pine, NC 28777 | 2012-05-25 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1326272824 | Brie Michele Folkner | Family Medicine | 537 Altapass Hwy Ste C, Spruce Pine, NC 28777 | 2009-05-12 |
| 1093901290 | Patricia Susan Noser | Nurse Practitioner | 12348 South 226 Highway, Spruce Pine, NC 28777 | 2007-09-20 |
| 1194943092 | Blue Ridge General Surgery, PC | Surgery | 8017 Nineteen E Highway, Spruce Pine, NC 28777 | 2007-04-23 |
| 1528186277 | Bruce Dennis Crawford | Dentist | 600 Amity Park Rd, Dental-avery Mitchell Correctional Institution, Spruce Pine, NC 28777 | 2007-03-27 |
| 1134284755 | Freedom Memorial In-home Monitoring | Durable Medical Equipment & Medical Supplies | 1422 Roan Road, Spruce Pine, NC 28777 | 2006-12-26 |
| Find all providers in zip 28777 | ||||
| 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 |
|---|---|---|---|---|
| 1558684258 | Katherine Moore Lorenz Luvaga | Occupational Therapist | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829771 | Sherri Beckman | Occupational Therapist | 20408 Queensdale Dr, Cornelius, NC 28031-6535 | 2020-10-24 |
| 1467050245 | Abigail Faith Moore | Occupational Therapist | 708 Christopher Ct, Jacksonville, NC 28546-5849 | 2020-10-13 |
| 1215534540 | Halie Madison Ellinger | Occupational Therapist | 201 S Elliott Rd Apt 637, Chapel Hill, NC 27514-5979 | 2020-10-09 |
| 1306443692 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 220 Market View Dr Ste E, Kernersville, NC 27284-4026 | 2020-10-08 |
| 1164029690 | Nicole Kathleen Simmler | Occupational Therapist | 7120 Tres Ct, Fayetteville, NC 28314-5272 | 2020-10-07 |
| 1477160950 | Michaela Juliana | Occupational Therapist | 104 Ripley Ct, Cary, NC 27513-5121 | 2020-09-28 |
| 1861009847 | Moonbeam and Miracles Therapeutic Horsemanship Center | Occupational Therapist | 2075 Nc Highway 121, Greenville, NC 27834-7188 | 2020-09-24 |
| 1154938272 | Jennifer Lauren Wong | Occupational Therapist | 9937 Clarkes View Pl Nw, Concord, NC 28027-7235 | 2020-09-24 |
| 1386251486 | Samantha Lynn Develli | Occupational Therapist | 11940 Carolina Place Pkwy, Pineville, NC 28134-7471 | 2020-09-23 |
| 1588279863 | Jessica Laser | Occupational Therapist | 8819 Norway Ct, Charlotte, NC 28269-5180 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SPRUCE PINE |
| Zip Code | 28777 |
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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.