RAE K. PENCEK


Address: 3595 Canton Rd, Suite A9 321, Marietta, GA 30066-2658
Phone: 7703452804

RAE K. PENCEK (NPI# 1124296553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124296553
Entity Type Individual
Full Name RAE K. PENCEK
Credential OTR/L
Practice Address 3595 Canton Rd
Suite A9 321
Marietta
GA 30066-2658
Practice Telephone 7703452804
Practice Fax Number 6788270927
Mailing Telephone 7703452804
Mailing Fax Number 6788270927
Enumeration Date 2008-02-19
Last Update Date 2008-02-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
OT003297 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3595 CANTON RD
SUITE A9 321
City MARIETTA
State GA
Zip Code 30066-2658

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457376139 The Kroger Co Durable Medical Equipment & Medical Supplies 3595 Canton Rd, Marietta, GA 30066-2658 2006-07-13
1609400878 Marlo H Privitera Pharmacist 3595 Canton Rd, Marietta, GA 30066-2658 2020-02-26
1124650379 Laurie Liebherr Eads Pharmacist 3595 Canton Rd, Marietta, GA 30066-2658 2020-02-05
1780036806 Gamble Dentalsmart, PC Dentist 3595 Canton Rd, Marietta, GA 30066-2658 2016-07-13
1841659604 Life Empowerment Services Case Management 3595 Canton Rd, A9-320, Marietta, GA 30066-2658 2016-02-22
1659443083 Kristi Estes Occupational Therapist 3595 Canton Rd, Suite A9 #321, Marietta, GA 30066-2658 2006-11-14
1962588749 Sharilyn Rice Gugliotta Speech-Language Pathologist 3595 Canton Rd, Suite A9, #321, Marietta, GA 30066-2658 2006-10-27
1215024385 Rising Stars Children's Therapy, Inc. Occupational Therapist 3595 Canton Rd, Suite A9, #321, Marietta, GA 30066-2658 2006-10-09

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NPI Name Taxonomy Address Enumeration
1598253684 Comfort Community Center, LLC Skilled Nursing Facility 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 2018-04-25
1538681994 Passionate Care In Home Supportive Care 1110 Renfro Ln., Marietta, GA 30066 2017-07-07
1437510443 Steven Caras Internal Medicine 2682 Bonaire Terrace, Marietta, GA 30066 2016-03-18
1275918781 Latifat Bolajoko Asemota Nurse Practitioner 410 Nottingham Dr, Marietta, GA 30066 2015-07-26
1497094205 Changing Phases Behavioral Support, Inc Internal Medicine 3655 Canton Rd Ste 201, Marietta, GA 30066 2013-02-14
1659618916 Alison Nicole Sims Occupational Therapist 2465 Canopy Drive, Marietta, GA 30066 2013-01-07
1790044907 Antoine Jose Davenport Massage Therapist 4686 Jamerson Creek Dr, Marietta, GA 30066 2012-05-08
1174898548 Angel Elizabeth Nofziger Nurse Practitioner 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 2012-03-18
1912298019 Nancy Jean Slack Pharmacist 2833 Canton Road, Marietta, GA 30066 2011-04-22
1336456078 Mario B Miller Sr. Chiropractor 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 2010-09-01
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679608657 Elizabeth Rose Occupational Therapist 3565 Austell Rd Sw, Suite 11, Marietta, GA 30008-5769 2007-02-22
1366519613 Kristin P Wittgen, Pediatric Occupational Therpay Services Occupational Therapist 3935 Rock Mill Pkwy, Marietta, GA 30062-4142 2006-11-30
1427125772 Kristin P Wittgen Occupational Therapist 2753 Thomashire Trce, Marietta, GA 30066-4783 2006-11-30
1346313426 Beth K Crump Occupational Therapist 2631 Forest Way Ne, Marietta, GA 30066 2006-11-16
1609339894 Victoria Christa Dyer Occupational Therapist 1515 Johnson Ferry Rd Ste 100, Marietta, GA 30062-6492 2019-04-13
1104395813 Benjamin Houston Keeling Occupational Therapist 2850 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5684 2018-11-26
1831624204 Briana Houlihan Occupational Therapist 1515 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-6492 2017-04-24
1902223563 Stephanie Sandherr LLC Occupational Therapist 330 Old Orchard Ct, Marietta, GA 30068-3440 2014-03-20
1184859597 Adrienne Renee Franklin Occupational Therapist 2217 Roswell Rd, Suite A-100, Marietta, GA 30062-2972 2009-05-29
1518154442 Sarah M Ward Occupational Therapist 1230 Johnson Ferry Pl, Suite I-20, Marietta, GA 30068-2048 2007-09-25
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City MARIETTA
Zip Code 30066

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Dataset Information

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.

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