KELLY KALLAOS (NPI# 1124402045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124402045 |
Entity Type | Individual |
Full Name | KELLY KALLAOS |
Credential | OTR/L |
Practice Address |
5000 S Broadway Saint Louis MO 63111-2015 |
Mailing Address |
5332 Casa Royale Dr Saint Louis MO 63129-3007 |
Practice Telephone | 3146038645 |
Mailing Telephone | 3144872015 |
Enumeration Date | 2015-07-10 |
Last Update Date | 2015-07-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 004244 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
5000 S BROADWAY |
City | SAINT LOUIS |
State | MO |
Zip Code | 63111-2015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134269301 | Gmg, Inc | Skilled Nursing Facility | 5000 S Broadway, Saint Louis, MO 63111-2015 | 2007-02-07 |
1942758560 | Sarah Halter | Speech-Language Pathologist | 5000 S Broadway, Saint Louis, MO 63111-2015 | 2016-09-12 |
1598192452 | Naufel Inc. | Skilled Nursing Facility | 5000 S Broadway, Saint Louis, MO 63111-2015 | 2013-10-08 |
1508062811 | Carolyn A. Wolf | Occupational Therapy Assistant | 5000 S Broadway, Saint Louis, MO 63111-2015 | 2007-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
Find all providers in zip 63111 |
Taxonomy Code | 225X00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710594239 | Kayla Rebeca Smith | Occupational Therapist | 4931 Mcpherson Ave Apt D, Saint Louis, MO 63108-1627 | 2020-09-29 |
1518573252 | Amanda Cline | Occupational Therapist | 729 S Laclede Station Rd, Saint Louis, MO 63119-4911 | 2020-09-18 |
1508481466 | Forward Function Therapy LLC | Occupational Therapist | 5010 Elenore Ave Fl 1, Saint Louis, MO 63116-1300 | 2020-06-16 |
1275162869 | Audrey Keleman | Occupational Therapist | 4961 Laclede Ave Apt 401, Saint Louis, MO 63108-1438 | 2020-04-06 |
1851924666 | Danielle Nicole Sellers | Occupational Therapist | 167 Cherbourg Dr, Saint Louis, MO 63129-3453 | 2020-02-20 |
1780229278 | Catherine Morroney | Occupational Therapist | 1881 Pine St, Saint Louis, MO 63103-2264 | 2019-11-08 |
1366092405 | Meagan Welsh | Occupational Therapist | 4974 Schollmeyer Ave, Saint Louis, MO 63109-3781 | 2019-09-19 |
1659927507 | Lesley Quigley | Occupational Therapist | 11960 Westline Industrial Dr # Dr201, Saint Louis, MO 63146-3228 | 2019-08-15 |
1588123418 | Molly Susan Seberg | Occupational Therapist | 5030 Lexington Ave, Saint Louis, MO 63115-1505 | 2019-03-19 |
1962991653 | Paula Erbs | Occupational Therapist | 10410 Vintage Ct, Saint Louis, MO 63128-1623 | 2018-05-08 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63111 |
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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.