JEAN VERGILIO (NPI# 1033547286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033547286 |
| Entity Type | Individual |
| Full Name | JEAN VERGILIO |
| Practice Address |
210 W Lacrosse Ave Coeur D Alene ID 83814-2403 |
| Mailing Address |
210 W. Lacrosse Ave. Coeur D' Alene ID 83814 |
| Practice Telephone | 2086646520 |
| Mailing Telephone | 2086646520 |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA-1101 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | OC60131997 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
210 W LACROSSE AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003982927 | Lacrosse Health- Coeur D'alene, LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2006-11-24 |
| 1992218218 | Lacrosse Health-coeur Dalene LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2017-11-08 |
| 1992166870 | Stephanie Lynn Thorne | Physical Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2016-03-18 |
| 1811385974 | Fmg West Lacrosse Avenue Idaho LLC | Skilled Nursing Facility | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-12-24 |
| 1609272012 | Travis Pool | Physical Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-11-12 |
| 1407261332 | Jimmy Louis Burkhard | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-06-30 |
| 1396167193 | Sharon Bartlett | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-01-13 |
| 1609207513 | Lee Freshour | Speech-Language Pathologist | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-12-02 |
| 1407285174 | Cheryl Davee | Physical Therapist | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-11-04 |
| 1942638903 | Frances Geckle | Physical Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1407261332 | Jimmy Louis Burkhard | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-06-30 |
| 1396167193 | Sharon Bartlett | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-01-13 |
| 1841628112 | Gary Rossberg | Occupational Therapy Assistant | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2013-10-24 |
| 1215361985 | Matthew Christopher Borton | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-08-29 |
| 1184882680 | Gayle Joleen Fothergill | Occupational Therapy Assistant | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-30 |
| 1144429150 | Cynthia Ann James | Occupational Therapy Assistant | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2007-07-11 |
| 1093913956 | Shawna Rossberg | Occupational Therapy Assistant | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2007-07-03 |
| 1215134580 | Tara Goodwin | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784648 | Alyssa Mabey | Occupational Therapy Assistant | 659 Fairway Dr, Pocatello, ID 83201-2049 | 2020-09-15 |
| 1861028151 | Marissa Montamat | Occupational Therapy Assistant | 3550 W Americana Ter, Boise, ID 83706-4728 | 2020-03-18 |
| 1952802860 | Iris Marie Conrad | Occupational Therapy Assistant | 35 Dogwood Ln, Salmon, ID 83467-5083 | 2018-02-26 |
| 1992236988 | Katie Chase | Occupational Therapy Assistant | 1410 S Broadway Ave, Boise, ID 83706-3706 | 2017-03-22 |
| 1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
| 1245788959 | Susan Pahlas | Occupational Therapy Assistant | 489 Sw 7th Ave, Meridian, ID 83642-2809 | 2016-09-12 |
| 1679924435 | Chong Lucey | Occupational Therapy Assistant | 11892 W Clover Meadows Dr, Boise, ID 83713-6608 | 2016-06-23 |
| 1851761209 | Marissa Redding | Occupational Therapy Assistant | 8051b Eichenlaub Ct, Mountain Home Afb, ID 83648-1094 | 2015-09-29 |
| 1982085262 | Peaks To Plains Therapy Services, Pa | Occupational Therapy Assistant | 165 Front St, Driggs, ID 83422-5445 | 2015-06-12 |
| 1679964977 | Idris Jamal Shelby | Occupational Therapy Assistant | 2681 Sagebrush Dr, Twin Falls, ID 83301-7559 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.