KELLY MARIE O'BRIEN (NPI# 1104457225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104457225 |
| Entity Type | Individual |
| Full Name | KELLY MARIE O'BRIEN |
| Credential | COTA |
| Practice Address |
3640 Central Ave Indianapolis IN 46205-3569 |
| Practice Telephone | 3177440364 |
| Mailing Telephone | 3177440364 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32000035A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1326547225 | Kelly O'brien | Counselor | 46 Briar Hill Dr, Cranston, RI 02921-1202 | 2018-02-06 |
| 1659789089 | Kelly O'brien | Recreation Therapist | 1039 Forest Ave, Belleville, IL 62220-3623 | 2014-07-29 |
| 1033535505 | Kelly O'brien | Counselor | 4847 152nd Pl Se, Bellevue, WA 98006-3604 | 2014-03-08 |
| 1265605331 | Kelly Anne O'brien | Family Medicine | 600 Nw Murray Rd Ste 210, Lees Summit, MO 64081-1245 | 2008-04-09 |
| 1083212344 | Kelly O'brien | Physician Assistant | 900 Medical Village Dr, Edgewood, KY 41017-3422 | 2020-10-09 |
| 1174135180 | Kelly Therese O'brien | Counselor | 6415 Stanley Ave, Berwyn, IL 60402-3130 | 2020-08-20 |
| 1235748997 | Kelly Lynn O'brien | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-07-29 |
| 1164048476 | Kelly M O'brien | Social Worker | 535 Flushing Ave, Brooklyn, NY 11205-1610 | 2020-06-23 |
| 1740801687 | Kelly Joyce O'brien | Emergency Medicine | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-05-01 |
| Street Address |
3640 CENTRAL AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46205-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588637276 | Ellen Christine Jones | Specialist/Technologist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2006-02-11 |
| 1275185100 | Caleb Hintz | Physical Medicine & Rehabilitation | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2019-07-11 |
| 1629588181 | Decatur County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2017-10-10 |
| 1396116943 | Elizabeth Johnson | Occupational Therapist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2015-10-08 |
| 1669858387 | Jenise Lawrence | Speech-Language Pathologist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2015-08-04 |
| 1609267863 | Kaysee Mae Ellrich | Skilled Nursing Facility | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2015-02-10 |
| 1265838734 | Caitlin O'connor | Physical Therapist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2014-11-11 |
| 1710396452 | Kristen Metzler Wilson | Physical Therapist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2014-08-07 |
| 1295142875 | Letoya Lee | Occupational Therapy Assistant | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2014-07-16 |
| 1902125842 | Jaime Lynn Doehrman | Speech-Language Pathologist | 3640 Central Ave, Indianapolis, IN 46205-3569 | 2010-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
| 1376034165 | Sade Trenise Evans | Behavior Technician | 4740 Kingsway Drive, Indianapolis, IN 46205 | 2018-05-29 |
| 1972057354 | Danielle Mandigo | Social Worker | 4068 Winthrop Ave, Indianapolis, IN 46205 | 2016-08-15 |
| 1386032613 | Hear Indiana Inc | Speech-Language Pathologist | 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 | 2015-01-09 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| 1265686638 | Crown Medical Transportation | Non-emergency Medical Transport (VAN) | 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 | 2008-11-11 |
| 1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
| 1881895647 | Amber Casto | Counselor | 2626 East 46th Street, Suite J, Indianapolis, IN 46205 | 2007-05-30 |
| 1952502098 | Challenge Foundation Academy | Contractor | 3980 Meadows Dr., Indianapolis, IN 46205 | 2007-05-29 |
| 1588871909 | Korinne Fox | Social Worker | 3675 N, Washington Blvd., Indianapolis, IN 46205 | 2007-05-16 |
| Find all providers in zip 46205 | ||||
| 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 |
|---|---|---|---|---|
| 1164056016 | Amy Elizabeth Shreve | Occupational Therapy Assistant | 6434 E Raymond St, Indianapolis, IN 46203-5053 | 2020-03-01 |
| 1720554785 | Laurie Ann Rotramel | Occupational Therapy Assistant | 916 Burbank Rd, Indianapolis, IN 46219-5023 | 2018-10-17 |
| 1841656014 | Whitley Pruitt | Occupational Therapy Assistant | 7908 Carlton Arms Rd, Indianapolis, IN 46256-2807 | 2016-01-04 |
| 1144602327 | Angel Mcneal | Occupational Therapy Assistant | 8034 E 36th Pl, Indianapolis, IN 46226-5938 | 2015-06-24 |
| 1114338423 | April Edmonds | Occupational Therapy Assistant | 3550 N Kenwood Ave, Indianapolis, IN 46208-4423 | 2014-05-09 |
| 1528484607 | Jennifer Beason | Occupational Therapy Assistant | 622 E 56th St, Indianapolis, IN 46220-3134 | 2014-03-12 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1083055065 | Sugar Harshaw | Occupational Therapy Assistant | 4438 N Kenmore Rd, Indianapolis, IN 46226-3524 | 2013-07-08 |
| 1538409388 | Brenda J Gibbs Golder | Occupational Therapy Assistant | 10515 Hermosa Dr, Indianapolis, IN 46236-8162 | 2013-02-14 |
| 1316208010 | Herbert Pierre Weatherford Jr. | Occupational Therapy Assistant | 12332 Teacup Way, Indianapolis, IN 46235-6128 | 2012-05-30 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46205 |
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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.