MRS. SANDRA J DURHAM (NPI# 1972638500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972638500 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA J DURHAM |
| Credential | OTR |
| Practice Address |
2310 4th St Charleston IL 61920-3905 |
| Practice Telephone | 2173488266 |
| Practice Fax Number | 2173488266 |
| Mailing Telephone | 2173488266 |
| Mailing Fax Number | 2173488266 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487794301 | Sandra Lynne Durham | Pain Medicine | 6801 Cahaba Valley Rd, Ste 208, Birmingham, AL 35242-9608 | 2007-02-08 |
| Street Address |
2310 4TH ST |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| 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 |
|---|---|---|---|---|
| 1912506791 | Kathryn Fraboni Henderson | Occupational Therapist | 323 Riverland Dr Apt 2, Charleston, SC 29412-2587 | 2020-10-22 |
| 1730792938 | Kasey Anne O'haren | Occupational Therapist | 1 10th Ave, Charleston, SC 29403-3601 | 2020-08-26 |
| 1093323743 | Hannah Yaldaparast | Occupational Therapist | 559 Fort Johnson Rd, Charleston, SC 29412-9117 | 2020-07-20 |
| 1649834086 | Christy Myjak | Occupational Therapist | 614 Wateree Dr, Charleston, SC 29407-6635 | 2019-04-30 |
| 1356809925 | Nicole Bertolino | Occupational Therapist | 1611 Savannah Hwy Ste C, Charleston, SC 29407-2254 | 2019-03-03 |
| 1700375748 | Alexandra Mcmullen | Occupational Therapist | 1951 Clements Ferry Rd Ste B, Charleston, SC 29492-8322 | 2018-05-04 |
| 1437660990 | Courtney Goodnight | Occupational Therapist | 274 Eureka Rd, Charleston, WV 25314-2126 | 2017-10-23 |
| 1952829491 | Anthony Faulk | Occupational Therapist | 1912 Fruitwood Ave, Charleston, SC 29414-6223 | 2017-09-05 |
| 1023536968 | Amanda Graves | Occupational Therapist | 637 Highwood Cir, Charleston, SC 29412-9004 | 2017-08-30 |
| 1740703289 | Charlotte Myers | Occupational Therapist | Musc Ashley River Tower, 25 Courtenay Drive, Charleston, SC 29425 | 2017-07-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
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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.