MRS. COLLEEN MARGARET BOISSONNEAULT (NPI# 1104924042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104924042 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN MARGARET BOISSONNEAULT |
| Other Name | COLLEEN MARGARET JOHNSON |
| Credential | COTA |
| Practice Address |
2705 Enloe St Hudson WI 54016-8173 |
| Mailing Address |
203 W Elm St Roberts WI 54023-9714 |
| Practice Telephone | 7153862128 |
| Practice Fax Number | 7153866119 |
| Mailing Telephone | 7152549364 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1919 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40881100 | 05 |
| Street Address |
2705 ENLOE ST |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-8173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932205564 | Deanna M. Wanzek | Physical Therapist | 2705 Enloe St, Hudson, WI 54016-8173 | 2006-09-14 |
| 1790301794 | Diane Meyer | Speech-Language Pathologist | 2705 Enloe St, Hudson, WI 54016-8173 | 2020-06-25 |
| 1588297311 | Nicole Koenke | Occupational Therapist | 2705 Enloe St, Hudson, WI 54016-8173 | 2020-02-20 |
| 1801338652 | Its of Wi | Speech-Language Pathologist | 2705 Enloe St, Hudson, WI 54016-8173 | 2016-11-10 |
| 1265882138 | Caitlin Russ | Occupational Therapist | 2705 Enloe St, Hudson, WI 54016-8173 | 2016-06-21 |
| 1144683871 | Allison Gilbert | Occupational Therapist | 2705 Enloe St, Hudson, WI 54016-8173 | 2016-03-31 |
| 1225383292 | Jennifer V Nilssen | Community Health Worker | 2705 Enloe St, Hudson, WI 54016-8173 | 2012-07-17 |
| 1841516713 | Points of Stillness LLC | Specialist | 2705 Enloe St, Hudson, WI 54016-8173 | 2010-04-15 |
| 1902137441 | Mary Ellen Westerlund | Occupational Therapy Assistant | 2705 Enloe St, Hudson, WI 54016-8173 | 2010-01-22 |
| 1003072992 | Martha J Swanson | Physical Therapy Assistant | 2705 Enloe St, Hudson, WI 54016-8173 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| 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 |
|---|---|---|---|---|
| 1770128233 | Kylie Henry | Occupational Therapy Assistant | 7579 Partridge Meadows Dr E, Hudson, OH 44236-1360 | 2019-11-08 |
| 1609313154 | Amy R Beaver | Occupational Therapy Assistant | 768 Aldro Rd, Hudson, WI 54016-7825 | 2017-01-23 |
| 1124562459 | Kayla Wilkins | Occupational Therapy Assistant | 12933 Turnstone Ct, Hudson, FL 34669-2945 | 2016-12-05 |
| 1316282528 | Tami Trejos | Occupational Therapy Assistant | 7703 Willow Brook Ct, Hudson, FL 34667-7121 | 2012-11-29 |
| 1033453881 | Terry Lee Hartley | Occupational Therapy Assistant | 154 Olive St, Hudson, NC 28638-2739 | 2012-11-18 |
| 1952645707 | Pamela Regina Crouch | Occupational Therapy Assistant | 1361 Cajah Mountain Rd, Hudson, NC 28638-9580 | 2012-11-18 |
| 1366791642 | Colleen Patricia Hall | Occupational Therapy Assistant | 13604 Maria Dr, Hudson, FL 34667-1547 | 2012-09-02 |
| 1154690535 | Annmarie Karr | Occupational Therapy Assistant | 505 Northend Rd N, Hudson, WI 54016-1072 | 2011-12-14 |
| 1528344462 | Catherine Marie Barrett | Occupational Therapy Assistant | 102 Harry Howard Ave, Hudson, NY 12534-1605 | 2011-10-24 |
| 1700180932 | Margaret Steeneck | Occupational Therapy Assistant | 2240 Us Route 9, Hudson, NY 12534-4701 | 2011-01-03 |
| Find all providers in HUDSON | ||||
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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.