CHRISTINE PERIASAMY (NPI# 1093821308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093821308 |
| Entity Type | Individual |
| Full Name | CHRISTINE PERIASAMY |
| Practice Address |
1001 S Kirkwood Rd Ste 140 Saint Louis MO 63122-7254 |
| Mailing Address |
14640 Big Timber Ln Chesterfield MO 63017-5659 |
| Practice Telephone | 3148215300 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE # | 005302 | 01 |
| Street Address |
1001 S KIRKWOOD RD STE 140 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-7254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570808 | Leonard F Fagan | Internal Medicine | 1001 S Kirkwood Rd, Suite 100, Saint Louis, MO 63122-7254 | 2005-07-01 |
| 1649747437 | Katherine Natalie Benjamin | Occupational Therapy Assistant | 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 | 2018-10-30 |
| 1578917464 | St. Anthony's Physician Organization | Internal Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2016-04-18 |
| 1740678226 | Brandy Hughes | Nurse Practitioner | 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 | 2015-01-06 |
| 1508205543 | Dermond Cortez Henry | Family Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2013-06-24 |
| 1215202510 | Joseph Jason Grassino | Physician Assistant | 1001 S Kirkwood Rd, Suite 120, Saint Louis, MO 63122-7254 | 2012-03-20 |
| 1255615951 | Rachel Ann Cook | Nurse Practitioner | 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 | 2011-09-29 |
| 1851553598 | St. Anthony's Physician Organization | Family Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2008-06-25 |
| 1992983662 | Corey Randall Rentfrow | Physician Assistant | 1001 S Kirkwood Rd, Saint Louis, MO 63122-7254 | 2008-02-05 |
| 1578761706 | Lubbna Johar | Family Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| 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 |
|---|---|---|---|---|
| 1710594239 | Kayla Rebeca Smith | Occupational Therapist | 4931 Mcpherson Ave Apt D, Saint Louis, MO 63108-1627 | 2020-09-29 |
| 1518573252 | Amanda Cline | Occupational Therapist | 729 S Laclede Station Rd, Saint Louis, MO 63119-4911 | 2020-09-18 |
| 1508481466 | Forward Function Therapy LLC | Occupational Therapist | 5010 Elenore Ave Fl 1, Saint Louis, MO 63116-1300 | 2020-06-16 |
| 1275162869 | Audrey Keleman | Occupational Therapist | 4961 Laclede Ave Apt 401, Saint Louis, MO 63108-1438 | 2020-04-06 |
| 1851924666 | Danielle Nicole Sellers | Occupational Therapist | 167 Cherbourg Dr, Saint Louis, MO 63129-3453 | 2020-02-20 |
| 1780229278 | Catherine Morroney | Occupational Therapist | 1881 Pine St, Saint Louis, MO 63103-2264 | 2019-11-08 |
| 1366092405 | Meagan Welsh | Occupational Therapist | 4974 Schollmeyer Ave, Saint Louis, MO 63109-3781 | 2019-09-19 |
| 1659927507 | Lesley Quigley | Occupational Therapist | 11960 Westline Industrial Dr # Dr201, Saint Louis, MO 63146-3228 | 2019-08-15 |
| 1588123418 | Molly Susan Seberg | Occupational Therapist | 5030 Lexington Ave, Saint Louis, MO 63115-1505 | 2019-03-19 |
| 1962991653 | Paula Erbs | Occupational Therapist | 10410 Vintage Ct, Saint Louis, MO 63128-1623 | 2018-05-08 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
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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.