MS. MARY JOSEPHINE SMITH (NPI# 1013176742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013176742 |
| Entity Type | Individual |
| Full Name | MS. MARY JOSEPHINE SMITH |
| Credential | COTA |
| Practice Address |
2400 College Ave Goshen IN 46528-5010 |
| Mailing Address |
1711 Stevens Ave Elkhart IN 46516-4002 |
| Practice Telephone | 5745330351 |
| Mailing Telephone | 5743331120 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32001082A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | STATE LICENSE | 32001082A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604133 | Mary Smith | Technician | 3306 Cypress Ave, Cleveland, OH 44109-4935 | 2020-09-22 |
| 1275147209 | Mary Irene Smith | Technician | 490 Court St, Fort Gay, WV 25514-9304 | 2020-09-08 |
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1326668716 | Mary Smith | Adult Companion | 2546 Ne 11th Pl, Gainesville, FL 32641-4886 | 2020-04-25 |
| 1912534256 | Mary Margaret Smith | Dietitian, Registered | 756 Forest Dr, Mayville, WI 53050-1704 | 2020-03-26 |
| 1265074454 | Mary Elizabeth Smith | Nurse Practitioner | 1441 Ne 10th Ave # Aev, Payette, ID 83661-5420 | 2019-10-09 |
| 1477014686 | Mary Smith | Physical Therapy Assistant | 209 Laura Springs Dr, Salisbury, NC 28146-7216 | 2019-03-29 |
| 1578040341 | Mary Stefanie Smith | Marriage & Family Therapist | 17581 Via Sereno, Monte Sereno, CA 95030-3201 | 2018-07-25 |
| 1720588817 | Mary Smith | Home Health Aide | 5333 Dix St Ne, Washington, DC 20019-6664 | 2018-02-15 |
| Street Address |
2400 COLLEGE AVE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46528-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321669 | Americare Living of Goshen | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2005-07-26 |
| 1447687868 | Jacqueline L Stephens | Occupational Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2013-09-30 |
| 1437415452 | Jennifer R Stabler | Occupational Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2012-04-03 |
| 1467728899 | Sheila Kay Owens | Occupational Therapy Assistant | 2400 College Ave, Goshen, IN 46528-5010 | 2012-03-29 |
| 1952674111 | Audra L Joldersma | Speech-Language Pathologist | 2400 College Ave, Goshen, IN 46528-5010 | 2012-02-20 |
| 1639479108 | Courtyard Rehabilitation Center, Inc | Skilled Nursing Facility | 2400 College Ave, Goshen, IN 46528-5010 | 2010-10-29 |
| 1801121280 | Shubhanshu Saxena | Physical Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2009-10-02 |
| 1952550113 | Oluwakemi Gbemisola Bond | Physical Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2008-09-12 |
| 1558520627 | Pamela Ann Spohr | Occupational Therapist | 2400 College Ave, Goshen, IN 46528-5010 | 2008-06-04 |
| 1639338874 | Nicole Marie Sieg | Physical Therapy Assistant | 2400 College Ave, Goshen, IN 46528-5010 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972981140 | Brett Dyer | Nurse Anesthetist, Certified Registered | 20208 Deer Path Ct., Goshen, IN 46528 | 2015-05-08 |
| 1831490275 | Renee Danielle Gilligan | Physical Therapy Assistant | 57078 Appaloosa Court, Goshen, IN 46528 | 2010-11-16 |
| 1760620090 | Lisa A Levin | Social Worker | 330 Lakeview Drive, Goshen, IN 46528 | 2009-01-23 |
| 1346319290 | Martin's Super Market | Pharmacy | 1527 Bashor Road, Goshen, IN 46528 | 2006-11-07 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| 1336196591 | Carolin K. Marzouk | Nurse Practitioner | 213 Middlebury Street, Goshen, IN 46528 | 2006-05-31 |
| 1235185513 | Open and Wide Mri LLC | Radiology | 2856 Eisenhower Dr N., Suite 1, Goshen, IN 46528 | 2006-05-26 |
| 1407341233 | Leah Kathryn Richardson | Registered Nurse | 213 Middlebury St, Goshen, IN 46528 | 2018-06-25 |
| 1619324126 | Rebecca E Johnson | Registered Nurse | 808 N 3rd St, Goshen, IN 46528 | 2016-05-16 |
| 1861850695 | Gerardo Diaz | Nurse Practitioner | 808 N 3rd St, Goshen, IN 46528 | 2016-02-08 |
| Find all providers in zip 46528 | ||||
| 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 |
|---|---|---|---|---|
| 1326559436 | Luba Brown | Occupational Therapy Assistant | 2 Glenmere Cove Rd, Goshen, NY 10924-6059 | 2017-10-16 |
| 1780088930 | Vita Bosco | Occupational Therapy Assistant | 345 Reservoir Rd, Goshen, NY 10924-5706 | 2014-10-17 |
| 1467885608 | Leslie Ann Cosgrove | Occupational Therapy Assistant | 147 Clark Rd, Goshen, NY 10924-5628 | 2013-08-12 |
| 1437593092 | Kathleen Reeves | Occupational Therapy Assistant | 35 Paxton Ct, Goshen, CT 06756-2108 | 2013-04-24 |
| 1194073452 | Heather Marie Morse | Occupational Therapy Assistant | 13 Oxford Rd, Goshen, NY 10924-1405 | 2012-08-16 |
| 1427305259 | Ruth H Barber Dunlavey | Occupational Therapy Assistant | 34 Orange Ave, Goshen, NY 10924-2118 | 2012-08-10 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1134427446 | Kristine Marie Rudolph | Occupational Therapy Assistant | 44 Lower Magic Circle Dr, Goshen, NY 10924-2621 | 2011-03-10 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| 1164759718 | Thomas Lynch | Occupational Therapy Assistant | 6 S Brae Rd, Goshen, NY 10924-2302 | 2009-11-03 |
| Find all providers in GOSHEN | ||||
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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.