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).
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 |
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 |
Street Address |
3595 CANTON RD SUITE A9 321 |
City | MARIETTA |
State | GA |
Zip Code | 30066-2658 |
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 |
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 |
Find all providers in zip 30066 |
Taxonomy Code | 225XP0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Pediatrics |
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:
|
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 |
Find all providers in MARIETTA |
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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.