MARILYN BOUTELLE (NPI# 1952698821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952698821 |
| Entity Type | Individual |
| Full Name | MARILYN BOUTELLE |
| Credential | OTA |
| Practice Address |
1119 Owens St N Stillwater MN 55082-4316 |
| Mailing Address |
1444 Eleanor Ave Saint Paul MN 55116-2231 |
| Practice Telephone | 6513433888 |
| Mailing Telephone | 6513433888 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 201686 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1119 OWENS ST N |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215927611 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 1119 Owens St N, Stillwater, MN 55082-4316 | 2005-10-26 |
| 1922653559 | Anna Rose Williams | Physical Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2019-08-09 |
| 1023559549 | Rachel Marshall | Speech-Language Pathologist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2017-03-16 |
| 1740730795 | Joan Palen | Physical Therapist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-10-13 |
| 1881046233 | Kelsey Mackereth | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-07-11 |
| 1922458603 | Tracy Lee Chapman | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-06-14 |
| 1265889810 | Sandra Severin | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-05-24 |
| 1629430418 | Leah Schminkey | Occupational Therapist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-03-22 |
| 1558749002 | Kimberly Dixon | Physical Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2015-05-15 |
| 1912393521 | Rachel Wieneke | Speech-Language Pathologist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2015-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427422807 | Jane Olson | Occupational Therapy Assistant | 15015 10th St N, Stillwater, MN 55082-2010 | 2015-11-22 |
| 1982927919 | Mary Ann Scheel I | Occupational Therapy Assistant | 414 Mulberry St W, Stillwater, MN 55082-4856 | 2010-03-04 |
| 1225217060 | Laura Marie Larsen | Occupational Therapy Assistant | 119 Owens St N, Good Samaritan Synertx Rehabilitation, Stillwater, MN 55082 | 2007-10-29 |
| 1144725524 | Lara Victoria Leach | Occupational Therapy Assistant | 814 S Walnut St, Stillwater, OK 74074-4225 | 2018-03-27 |
| 1881046233 | Kelsey Mackereth | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-07-11 |
| 1922458603 | Tracy Lee Chapman | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-06-14 |
| 1265889810 | Sandra Severin | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-05-24 |
| 1144625484 | Katie Jo Zylstra | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2014-10-29 |
| 1790195535 | Kayla Eggen | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2014-05-01 |
| 1841452497 | Jennifer Holzschuh | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2008-06-25 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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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.