ELLEN JEAN EATON (NPI# 1013563568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013563568 |
| Entity Type | Individual |
| Full Name | ELLEN JEAN EATON |
| Credential | OTR |
| Practice Address |
2505 E Jefferson Blvd South Bend IN 46615-2635 |
| Mailing Address |
15744 Sunrise Trl Granger IN 46530-9034 |
| Practice Telephone | 5742893945 |
| Mailing Telephone | 5743601527 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 31001875A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598945875 | Ellen Eaton | Internal Medicine | 908 20th St S, Birmingham, AL 35205-2610 | 2007-11-05 |
| Street Address |
2505 E JEFFERSON BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124249867 | Kristin Shide | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2007-05-01 |
| 1437756277 | Angela Snyder | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-10-05 |
| 1376155424 | Kodie Heading | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-20 |
| 1922618032 | Susanne Borders | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-08-04 |
| 1396378774 | Cailin Grace Kennedy | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2020-02-13 |
| 1770125692 | Kristina Borkholder | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-10-11 |
| 1891345443 | Valerie Ann Brubaker | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-09-16 |
| 1356909758 | Kaitlyn Fleming | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-05-31 |
| 1538627328 | Alissa Freyer | Behavior Technician | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-03-11 |
| 1194289694 | Chrystal Marie Phan | Developmental Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| 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 |
|---|---|---|---|---|
| 1730742453 | Emily Veronica Polovick | Occupational Therapist | 53021 Poppy Rd, South Bend, IN 46628-9238 | 2019-04-18 |
| 1952840183 | Globe Star, LLC | Occupational Therapist | 935 S Ironwood Dr, South Bend, IN 46615-1613 | 2017-02-21 |
| 1568760213 | Susan Strope | Occupational Therapist | 17390 Dugdale Dr, South Bend, IN 46635-1512 | 2011-03-04 |
| 1457669319 | Rhonda Lee Ellen Lynette Davis-cheshire | Occupational Therapist | 22839 Arbor Pointe Dr, South Bend, IN 46628-9397 | 2010-09-14 |
| 1457675910 | Stephanie Martin | Occupational Therapist | 1430 E Madison St, South Bend, IN 46617-2427 | 2010-03-26 |
| 1831345248 | Cherlyn Po | Occupational Therapist | 52654 N Ironwood Rd, South Bend, IN 46637 | 2008-08-18 |
| 1568618478 | Marian Katherine Gartee | Occupational Therapist | 52654 Ironwood Rd, South Bend, IN 46635-1123 | 2008-08-12 |
| 1821206608 | Lydia Bradfortd Otiato | Occupational Therapist | 1818 Georgian Ct, South Bend, IN 46614-1878 | 2007-05-18 |
| 1588877492 | Anne Elizabeth Knouse | Occupational Therapist | 5709 Danbury Dr, South Bend, IN 46614-6047 | 2007-05-07 |
| 1124249867 | Kristin Shide | Occupational Therapist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2007-05-01 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
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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.