MRS. ANDRIA LYNN BOOTH (NPI# 1093943326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093943326 |
| Entity Type | Individual |
| Full Name | MRS. ANDRIA LYNN BOOTH |
| Credential | COTA/L |
| Practice Address |
310 N 1st St Rockford IL 61107-3902 |
| Practice Telephone | 8159042051 |
| Mailing Telephone | 8159042051 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057.002044 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303507 | Andria Booth | Behavior Technician | 3845 Ansley Park Dr, Suwanee, GA 30024-6433 | 2020-10-15 |
| Street Address |
310 N 1ST ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| 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 |
|---|---|---|---|---|
| 1669022265 | Taylor Parus | Occupational Therapy Assistant | 739 Campton Dr, Rockford, IL 61102-5628 | 2019-09-16 |
| 1659623718 | Karey Zmeskal | Occupational Therapy Assistant | 124 Beach Dr, Rockford, MN 55373-9615 | 2012-10-12 |
| 1447564117 | Heather Marie Froehlich-brittain | Occupational Therapy Assistant | 2720 Sandhutton Ave Apt 3, Rockford, IL 61109-7544 | 2010-08-04 |
| 1124680608 | Kirsten Sympson | Occupational Therapy Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2019-07-03 |
| 1396238390 | Samantha C Swanson | Occupational Therapy Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2018-06-13 |
| 1982197224 | Kari Lynn Teske | Occupational Therapy Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2018-06-12 |
| 1154720407 | Tara May | Occupational Therapy Assistant | 400 Buckeye St, Rockford, OH 45882-9267 | 2014-08-21 |
| 1144649435 | Jennifer A Petersen | Occupational Therapy Assistant | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2014-04-15 |
| 1427487800 | Donna Leger | Occupational Therapy Assistant | 550 S Mulford Rd, Rockford, IL 61108-2511 | 2013-11-05 |
| 1407284805 | Amber Flavin | Occupational Therapy Assistant | 550 S Mulford Rd, Rockford, IL 61108-2511 | 2013-10-22 |
| Find all providers in ROCKFORD | ||||
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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.