KELLY DIRKSEN (NPI# 1942662432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942662432 |
| Entity Type | Individual |
| Full Name | KELLY DIRKSEN |
| Other Name | KELLY MCBRIDE |
| Credential | OTR |
| Practice Address |
1130 W 53rd St Davenport IA 52806-2401 |
| Practice Telephone | 5633915342 |
| Mailing Telephone | 5633915342 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 01768 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | STATE OF IOWA LICENSE OCCUPATIONAL THERAPY | 01768 | 01 |
| Street Address |
1130 W 53RD ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52806-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730259813 | Lutheran Home for The Aged Association-east | Skilled Nursing Facility | 1130 W 53rd St, Davenport, IA 52806-2401 | 2006-11-08 |
| 1881163301 | Lori Ann Greenwood | Occupational Therapist | 1130 W 53rd St, Davenport, IA 52806-2401 | 2018-11-14 |
| 1497169668 | Claire Daniel | Speech-Language Pathologist | 1130 W 53rd St, Davenport, IA 52806-2401 | 2014-06-16 |
| 1497938237 | Vicki Lynn Trainer | Speech-Language Pathologist | 1130 W 53rd St, Davenport, IA 52806-2401 | 2007-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
| 1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
| 1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
| 1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
| 1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
| Find all providers in zip 52806 | ||||
| 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 |
|---|---|---|---|---|
| 1912522194 | Possabilities Therapy Services LLC | Occupational Therapist | 327 Kettering Rd, Davenport, FL 33897-7740 | 2020-06-12 |
| 1972156164 | Hope Catherine Witt | Occupational Therapist | 20 Hidden Valley Cir, Davenport, IA 52804-1159 | 2019-07-17 |
| 1386157196 | Athletico Ltd | Occupational Therapist | 4730 Elmore Ave Unit 1, Davenport, IA 52807-3482 | 2017-11-15 |
| 1992116974 | Kathryn Orlando | Occupational Therapist | 21037 Holden Dr Ste 2, Davenport, IA 52806-9312 | 2014-05-13 |
| 1144647199 | Tammy Conner | Occupational Therapist | 1643 W 64th St, Davenport, IA 52806-2800 | 2014-03-27 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1619094612 | Anne Marie Lansing | Occupational Therapist | 5837 Stephen Cir, Davenport, IA 52807-3902 | 2007-03-23 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1649243098 | James Matthew Ruggeberg | Occupational Therapist | 1800 W 3rd St, Davenport, IA 52802-1812 | 2006-02-08 |
| Find all providers in DAVENPORT | ||||
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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.