MR. PAUL JOSEPH DERY (NPI# 1003023433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003023433 |
Entity Type | Individual |
Full Name | MR. PAUL JOSEPH DERY |
Credential | C.O.T.A. |
Practice Address |
2512 New Pine Dr Altoona WI 54720-1378 |
Mailing Address |
2149 15th St Eau Claire WI 54703-2656 |
Practice Telephone | 7158330400 |
Practice Fax Number | 7158330397 |
Mailing Telephone | 7158399127 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 871-027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 40880800 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356981724 | Paul E Dery | Case Manager/Care Coordinator | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2020-01-13 |
Street Address |
2512 NEW PINE DR |
City | ALTOONA |
State | WI |
Zip Code | 54720-1378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790739712 | Steven D Cook | Emergency Medicine | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2006-05-22 |
1760900559 | Nsh Altoona LLC | Skilled Nursing Facility | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2017-09-01 |
1740679547 | Fmg New Pine Drive Wisconsin LLC | Skilled Nursing Facility | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2015-01-16 |
1477969350 | Megan Ziemann | Speech-Language Pathologist | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2014-07-11 |
1588946420 | Kristi Marie Kastelic | Occupational Therapy Assistant | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2011-09-16 |
1518274018 | Lindsey Cynthia Hart | Physical Therapy Assistant | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2010-09-03 |
1437363397 | Autumn Renee Simpson | Physical Therapy Assistant | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2007-05-10 |
1285848200 | Eric Martin Kauffmann | Physical Therapist | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2007-05-09 |
1427262872 | Erin L Smith | Speech-Language Pathologist | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2007-05-09 |
1720292105 | Gina L. Ostrowski | Physical Therapist | 2512 New Pine Dr, Altoona, WI 54720-1378 | 2007-05-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
Find all providers in zip 54720 |
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 |
---|---|---|---|---|
1225500986 | Katelyn Marie Mcclure | Occupational Therapy Assistant | 416 S 8th St, Altoona, PA 16602-4849 | 2018-12-19 |
1942610639 | Jill Melissa Carruthers | Occupational Therapy Assistant | 6085 Oak Ave, Altoona, PA 16601-7932 | 2014-05-02 |
1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
1972716934 | Lisa Marie Stoops | Occupational Therapy Assistant | 101 2nd Ave Lakemont, Altoona, PA 16602-3937 | 2007-05-07 |
1164517025 | Easter Seals Western and Central Pennsylvania | Occupational Therapy Assistant | 501 Valley View Blvd, Altoona, PA 16602-6410 | 2006-10-04 |
1619411758 | Jodi Pinnow | Occupational Therapy Assistant | 2512 New Pine Drive, Oakwood Villa, Altoona, WI 54720 | 2016-12-08 |
1861887002 | Tiffany Lu Lenkerd | Occupational Therapy Assistant | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2015-04-04 |
1144610452 | Lauren Trimarco | Occupational Therapy Assistant | 4 Sheraton Dr, Altoona, PA 16601-9316 | 2015-01-26 |
1851738363 | Easter Seals Western and Central Pennsylvania | Occupational Therapy Assistant | 501 Valley View Blvd, Altoona, PA 16602-6410 | 2013-05-24 |
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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.