CRYSTAL D GORDON (NPI# 1982851895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982851895 |
| Entity Type | Individual |
| Full Name | CRYSTAL D GORDON |
| Credential | COTA/L |
| Practice Address |
Rr 2 Box 211b Beecher City IL 62414-9208 |
| Practice Telephone | 2177832335 |
| Mailing Telephone | 2177832335 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057002673 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528559077 | Crystal Ciara Gordon | Technician, Other | 13950 Milton Ave Ste 220b, Westminster, CA 92683-2939 | 2018-05-21 |
| 1184069403 | Crystal Miquel Gordon | Specialist | 1990 W 7800 S, West Jordan, UT 84088-4025 | 2013-04-30 |
| 1891091088 | Crystal Jenna Gordon | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2011-02-04 |
| Street Address |
RR 2 BOX 211B |
| City | BEECHER CITY |
| State | IL |
| Zip Code | 62414-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083861991 | Deb A Gordon | Occupational Therapy Assistant | Rr 2 Box 211b, Beecher City, IL 62414-9208 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506320 | Dawn L Doty | Technician | 203 South Sweazy, Beecher City, IL 62414 | 2019-09-04 |
| 1821527235 | Morgan Leigh Myers | Specialist/Technologist | 2536 N 2100 St, Beecher City, IL 62414 | 2017-06-08 |
| 1366620965 | Beecher City Cusd320 | Local Education Agency (LEA) | Route 33 West, Beecher City, IL 62414 | 2008-02-06 |
| 1477658789 | Beecher City Community Unit School District #20 | Local Education Agency (LEA) | 438 E State Highway 33, Beecher City, IL 62414 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506320 | Dawn L Doty | Technician | 203 South Sweazy, Beecher City, IL 62414 | 2019-09-04 |
| 1821527235 | Morgan Leigh Myers | Specialist/Technologist | 2536 N 2100 St, Beecher City, IL 62414 | 2017-06-08 |
| 1366620965 | Beecher City Cusd320 | Local Education Agency (LEA) | Route 33 West, Beecher City, IL 62414 | 2008-02-06 |
| 1477658789 | Beecher City Community Unit School District #20 | Local Education Agency (LEA) | 438 E State Highway 33, Beecher City, IL 62414 | 2006-09-13 |
| 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 |
|---|---|---|---|---|
| 1083861991 | Deb A Gordon | Occupational Therapy Assistant | Rr 2 Box 211b, Beecher City, IL 62414-9208 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940886 | Kathleen Pumo | Occupational Therapy Assistant | 300 W 22nd St, Lombard, IL 60148-5417 | 2020-10-26 |
| 1093314593 | Melissa Eileen Suermann | Occupational Therapy Assistant | 300 S Station Rd, Glen Carbon, IL 62034-2739 | 2020-10-26 |
| 1265049746 | Lauren Bryant | Occupational Therapy Assistant | 17042 Wausau Ave, South Holland, IL 60473-3352 | 2020-09-28 |
| 1992312631 | Agnieszka Wanda Bis | Occupational Therapy Assistant | 110 W Schaumburg Rd, Streamwood, IL 60107-1459 | 2020-09-27 |
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1326651894 | Laverne Reese | Occupational Therapy Assistant | 150 S Durkin Dr Apt, Springfield, IL 62704-1151 | 2020-08-25 |
| 1326650235 | Cheryl Annette Perrilles | Occupational Therapy Assistant | 5124 S Alaska Rd, Peoria, IL 61607-9541 | 2020-08-21 |
| 1003426487 | Allyx Underwood | Occupational Therapy Assistant | 111 S Homer St, Princeton, IL 61356-1850 | 2020-07-31 |
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1508483991 | Latika Kemp | Occupational Therapy Assistant | 7246 S. King Dr., Chicago, IL 60619-1726 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
| City | BEECHER CITY |
| Zip Code | 62414 |
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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.