ALICIA KOTHEIMER EDMISTON (NPI# 1922491679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922491679 |
| Entity Type | Individual |
| Full Name | ALICIA KOTHEIMER EDMISTON |
| Credential | MS, OTR/L |
| Practice Address |
4121 Shelbyville Rd Suite 7 Louisville KY 40207-3205 |
| Mailing Address |
200 Daisy Ln Louisville KY 40243-1402 |
| Practice Telephone | 5028931380 |
| Mailing Telephone | 5026937037 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | KY-R5700 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4121 SHELBYVILLE RD SUITE 7 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770548208 | Melissa Michelle Klamm | Specialist/Technologist | 4121 Shelbyville Rd, Second Floor, Louisville, KY 40207-3205 | 2006-04-18 |
| 1114561180 | Taylor Despain | Occupational Therapist | 4121 Shelbyville Rd, Suite 7, Louisville, KY 40207-3205 | 2019-11-04 |
| 1982140943 | Lauren Simmons | Speech-Language Pathologist | 4121 Shelbyville Rd, Suite 7, Louisville, KY 40207-3205 | 2017-01-16 |
| 1962944777 | Dustin Cox | Occupational Therapy Assistant | 4121 Shelbyville Rd, Suite 7, Louisville, KY 40207-3205 | 2016-11-10 |
| 1033568241 | Akim Nyormoi | Occupational Therapist | 4121 Shelbyville Rd, Suite 7, Louisville, KY 40207-3205 | 2016-06-08 |
| 1386005346 | Brittany Roberts | Occupational Therapist | 4121 Shelbyville Rd, Ste 7, Louisville, KY 40207-3205 | 2016-03-17 |
| 1275904476 | Karen Quinkert | Occupational Therapist | 4121 Shelbyville Rd, Suite 7, Louisville, KY 40207-3205 | 2015-10-13 |
| 1710358171 | Lauren Brown | Speech-Language Pathologist | 4121 Shelbyville Rd, Ste. 1, Louisville, KY 40207-3205 | 2015-10-12 |
| 1649664293 | Brittany Johnson | Occupational Therapist | 4121 Shelbyville Rd, Suite Number 7, Louisville, KY 40207-3205 | 2015-03-21 |
| 1659764306 | Maggie Hack | Speech-Language Pathologist | 4121 Shelbyville Rd, Suite 7, Louisville, KY 40207-3205 | 2015-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| 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 |
|---|---|---|---|---|
| 1255939468 | Amanda Anderson | Occupational Therapist | 5323 Haventree Pl, Louisville, KY 40229-2259 | 2020-10-12 |
| 1023624061 | Danette Moran | Occupational Therapist | 10503 Vista Hills Blvd, Louisville, KY 40291-4940 | 2020-09-16 |
| 1720699929 | Bridget Virginia Carrithers | Occupational Therapist | 13510 Terrace Creek Dr Apt 201, Louisville, KY 40245-5842 | 2020-08-11 |
| 1346850096 | Annie White | Occupational Therapist | 1627 Nightingale Rd, Louisville, KY 40213-1007 | 2020-08-07 |
| 1336758333 | Kristin Sha Bowen | Occupational Therapist | 11610 Apex View Dr Apt 202, Louisville, KY 40229-8308 | 2020-07-26 |
| 1356967301 | Sarah Camille Moseley | Occupational Therapist | 1924 Roanoke Ave, Louisville, KY 40205-1416 | 2020-06-24 |
| 1639701261 | Dustin Hayden | Occupational Therapist | 6005 Highplace Dr, Louisville, KY 40291-2264 | 2020-02-11 |
| 1467082792 | Megan Holderman | Occupational Therapist | 1236 Hull St, Louisville, KY 40204-1116 | 2020-01-26 |
| 1982242731 | Morgan Hudgens | Occupational Therapist | 1005 Willow Springs Dr, Louisville, KY 40242-7943 | 2019-12-11 |
| 1164067708 | Benchmark Physical Therapy of Ky LLC | Occupational Therapist | 1917 Blankenbaker Pkwy, Louisville, KY 40299-2403 | 2019-11-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.