STACY CUDDEBACK (NPI# 1114486297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114486297 |
| Entity Type | Individual |
| Full Name | STACY CUDDEBACK |
| Credential | COTA/L |
| Practice Address |
2317 Hampden Blvd Reading PA 19604-1004 |
| Practice Telephone | 4846381023 |
| Mailing Telephone | 4846381023 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OP00001985L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2317 Hampden Blvd, Reading, PA 196041004 | 4846381023 |
| Street Address |
2317 HAMPDEN BLVD |
| City | READING |
| State | PA |
| Zip Code | 19604-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548514250 | Erin Kathryn Churico | Nurse Practitioner | 1110 Rockland Street, Reading, PA 19604 | 2012-11-01 |
| 1356525422 | Child and Family Support Services | Community/Behavioral Health | 1455 Marion St., 12th & Marion Elementary School, Reading, PA 19604 | 2007-12-24 |
| 1275679656 | Leonard Richard Caschera | Chiropractor | 1940 N 13th Street, Suite 230, Reading, PA 19604 | 2007-01-30 |
| 1780749101 | Juan E Kraljevic | Internal Medicine | 403 N 13th St, Reading, PA 19604 | 2006-12-26 |
| 1114093952 | Gary Paul Mihal | Chiropractor | 2630 Hampden Blvd, Reading, PA 19604 | 2006-11-24 |
| 1437269156 | Veronica Jo Labate | Dentist | 1518 North 13th Street, Reading, PA 19604 | 2006-08-30 |
| 1912934233 | Carol Beitinger | Nurse Anesthetist, Certified Registered | 12th Walnut Streets, Reading, PA 19604 | 2006-06-26 |
| 1356384994 | Deborah Smart | Nurse Anesthetist, Certified Registered | 12th & Walnut Street, Reading, PA 19604 | 2006-06-13 |
| 1124590179 | Mfon-abasi Connell-gentle | Dental Hygienist | 1110 Rockland Street, Reading, PA 19604 | 2018-12-31 |
| 1316144348 | Leonor Maribel Guerra | Counselor | 125 South 5th St, Reading, PA 19604 | 2007-07-02 |
| Find all providers in zip 19604 | ||||
| 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 |
|---|---|---|---|---|
| 1932613890 | Madalyn Marie Faust | Occupational Therapy Assistant | 222 Emerald Ave, Reading, PA 19606-1450 | 2017-11-29 |
| 1063864940 | Beverly Prouse | Occupational Therapy Assistant | 2609 Bilmar Rd, Reading, PA 19604-1002 | 2016-07-05 |
| 1326314790 | Megan Ann Guzowski | Occupational Therapy Assistant | 5501 Perkiomen Avenue, Reading, PA 19606 | 2012-03-29 |
| 1679706303 | Rebecca Tamayo | Occupational Therapy Assistant | 109 Funston Ave, Reading, PA 19607-1525 | 2009-08-28 |
| 1235302092 | Jamie Chmielewski | Occupational Therapy Assistant | 1040 Liggett Ave, Reading, PA 19611-1801 | 2008-04-11 |
| 1427242460 | Jennifer J Kalck-lewis | Occupational Therapy Assistant | 184 Christine Dr, Reading, PA 19606-3389 | 2007-09-04 |
| 1528250537 | Suzanne L. Williams | Occupational Therapy Assistant | 329 W Greenwich St, Reading, PA 19601-2609 | 2007-08-14 |
| 1669933404 | Demetrius Dante Wilson | Occupational Therapy Assistant | 5485 Perkiomen Ave, Reading, PA 19606-3676 | 2019-03-26 |
| 1700342243 | Margaret Belezos | Occupational Therapy Assistant | 1364 Main St, Reading, MA 01867-1137 | 2019-02-20 |
| 1558790972 | Ashlee Baer | Occupational Therapy Assistant | 220 S 4th Ave, Reading, PA 19611-1350 | 2013-11-06 |
| Find all providers in READING | ||||
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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.