KRISTEN LEIGH ELLENBURG (NPI# 1982848404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982848404 |
| Entity Type | Individual |
| Full Name | KRISTEN LEIGH ELLENBURG |
| Credential | OTR/L |
| Practice Address |
100 Joseph Walker Dr West Columbia SC 29169 |
| Mailing Address |
3104 Heyward St Columbia SC 29205 |
| Practice Telephone | 8039360310 |
| Mailing Telephone | 8039173602 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1869 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 JOSEPH WALKER DR |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043307010 | Joye Hoffman Mizell | Physical Therapy Assistant | 100 Joseph Walker Dr, West Columbia, SC 29169-6939 | 2006-10-09 |
| 1093287393 | Angela R Creighton | Physical Therapy Assistant | 100 Joseph Walker Dr, West Columbia, SC 29169-6971 | 2018-12-26 |
| 1356887582 | Lydia Akins | Physical Therapist | 100 Joseph Walker Dr, West Columbia, SC 29169-6971 | 2017-01-11 |
| 1447793146 | Lois Jean Pavkov | Specialist | 100 Joseph Walker Dr, West Columbia, SC 29169-6971 | 2016-11-29 |
| 1427412980 | Laurelcrest | Health Maintenance Organization | 100 Joseph Walker Dr, West Columbia, SC 29169-6971 | 2016-04-11 |
| 1235514589 | Rebecca Lynn Brunson | Physical Therapy Assistant | 100 Joseph Walker Dr, West Columbia, SC 29169-6971 | 2015-07-29 |
| 1245571033 | Kala Latral Wilson | Physical Therapy Assistant | 100 Joseph Walker Dr, West Columbia, SC 29169-6939 | 2013-03-05 |
| 1487902656 | Ashley Altman Hipp | Speech-Language Pathologist | 100 Joseph Walker Dr, West Columbia, SC 29169-6939 | 2012-08-20 |
| 1285929711 | Tiffany Givens | Physical Therapy Assistant | 100 Joseph Walker Dr, West Columbia, SC 29169-6939 | 2011-06-13 |
| 1811128804 | Cassie Mattox | Occupational Therapy Assistant | 100 Joseph Walker Dr, West Columbia, SC 29169-6939 | 2009-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| 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 |
|---|---|---|---|---|
| 1467506022 | Shay F Weed | Occupational Therapist | 3681 Leaphart Rd Ste A, West Columbia, SC 29169-3068 | 2007-01-22 |
| 1831705151 | Charles Toney | Occupational Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-09-22 |
| 1245878164 | Brooke Pendleton | Occupational Therapist | 1900 Sunset Blvd, West Columbia, SC 29169-5959 | 2019-12-11 |
| 1053956300 | Karen H Dorr | Occupational Therapist | 123 E Medical Ln, West Columbia, SC 29169-4813 | 2019-11-11 |
| 1861036717 | Shannon Bailey | Occupational Therapist | 1900 Sunset Blvd, West Columbia, SC 29169-5959 | 2019-11-04 |
| 1184274359 | Kristy Marie Lennon | Occupational Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2019-09-18 |
| 1114584034 | Gretchen L Peace | Occupational Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2019-05-27 |
| 1952965956 | Kilian Ballard Perdue | Occupational Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2019-04-24 |
| 1023576485 | Hagen D Leventis | Occupational Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2019-03-05 |
| 1407331085 | Erica N Jamison | Occupational Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2018-09-28 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.