MS. JENNIFER ELEANOR KOFFMAN (NPI# 1992095152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992095152 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER ELEANOR KOFFMAN |
| Credential | COTA/L |
| Practice Address |
140 N Hilltop Drive Titusville FL 32796 |
| Practice Telephone | 3212259540 |
| Mailing Telephone | 3212259540 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 10448 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | OTA LICENSE | 10448 | 01 |
| Street Address |
140 N HILLTOP DRIVE |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1356575427 | Jl Gran Services, Inc | Clinic/Center | 3435 Westwood Dr, Titusville, FL 32796 | 2009-05-05 |
| Find all providers in zip 32796 | ||||
| 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 |
|---|---|---|---|---|
| 1316597198 | Rachel Marie Paten | Occupational Therapy Assistant | 515 Breakaway Trl, Titusville, FL 32780-7285 | 2019-09-13 |
| 1851839690 | Audrey Nardone | Occupational Therapy Assistant | 3645 Barna Ave Unit 30a, Titusville, FL 32780-5365 | 2017-01-31 |
| 1568702975 | Danielle Hanes | Occupational Therapy Assistant | 3629 Ventnor Dr, Titusville, FL 32796-2996 | 2013-02-21 |
| 1437494770 | Matthew Simmons | Occupational Therapy Assistant | 5020 Walton Ave, Titusville, FL 32780-6826 | 2012-11-27 |
| 1356908289 | Shoneisha M Nalley | Occupational Therapy Assistant | 1705 Jess Parrish Ct, Titusville, FL 32796-2158 | 2019-05-27 |
| 1700442373 | Wendy Ann Ingram | Occupational Therapy Assistant | 1705 Jess Parrish Ct, Titusville, FL 32796-2158 | 2019-05-19 |
| 1760046973 | Jessica Black | Occupational Therapy Assistant | 1705 Jess Parrish Ct, Titusville, FL 32796-2158 | 2019-04-24 |
| 1215591482 | Rachel Burlingame | Occupational Therapy Assistant | 1705 Jess Parrish Ct, Titusville, FL 32796-2158 | 2019-04-23 |
| 1891256277 | Russell Lamar Locke Sr. | Occupational Therapy Assistant | 1705 Jess Parrish Ct, Titusville, FL 32796-2158 | 2019-03-27 |
| 1083985535 | Kathryn Kincannon | Occupational Therapy Assistant | 1550 Jess Parrish Ct, Titusville, FL 32796-2147 | 2012-01-14 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
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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.