KELLY JEAN HODGE (NPI# 1134496110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134496110 |
| Entity Type | Individual |
| Full Name | KELLY JEAN HODGE |
| Practice Address |
2760 Dora Ave Tavares FL 32778 |
| Mailing Address |
6406 Sanson Dr Apopka FL 32712-5224 |
| Practice Telephone | 3527427837 |
| Practice Fax Number | 3525085113 |
| Mailing Telephone | 4078830978 |
| Mailing Fax Number | 3525085113 |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA12026 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1356770879 | Kelly Hodge | Counselor | 441 E Broad St Ste D, Cookeville, TN 38501-3390 | 2013-11-05 |
| 1982715215 | Kelly Day Hodge | Nurse Practitioner | 810 W Church St, Greeneville, TN 37745-3285 | 2006-08-31 |
| 1821526146 | Kelly Denise Hodge | Nurse Practitioner | 3515 Richmond Rd, Texarkana, TX 75503 | 2017-05-31 |
| 1336477033 | Kelly D Hodge | Occupational Therapist | 345 Bayshore Blvd, 1611, Tampa, FL 33606-2344 | 2009-11-18 |
| Street Address |
2760 DORA AVE |
| City | TAVARES |
| State | FL |
| Zip Code | 32778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366573883 | Marcy Grant Hendrix | Speech-Language Pathologist | 2760 Dora Ave, Tavares, FL 32778-4970 | 2007-03-08 |
| 1801414131 | Ariella Mendoza | Occupational Therapy Assistant | 2760 Dora Ave, Tavares, FL 32778-4970 | 2020-07-13 |
| 1285251215 | Savannah Amber Kelly Beach | Specialist/Technologist | 2760 Dora Ave, Tavares, FL 32778-4970 | 2020-06-25 |
| 1770027278 | Coral Lozano-romero | Speech-Language Pathologist | 2760 Dora Ave, Tavares, FL 32778-4970 | 2016-12-19 |
| 1861896219 | Step By Step Therapy, Inc | Occupational Therapy Assistant | 2760 Dora Ave, Tavares, FL 32778-4970 | 2014-10-14 |
| 1104250695 | Amy Elizabeth Bauschlicher | Speech-Language Pathologist | 2760 Dora Ave, Tavares, FL 32778-4970 | 2013-09-03 |
| 1366883647 | Chloe Nannette Moreland | Occupational Therapist | 2760 Dora Ave, Tavares, FL 32778-4970 | 2013-07-15 |
| 1790123867 | Jessica Camryn Wood | Specialist/Technologist | 2760 Dora Ave, Tavares, FL 32778-4970 | 2013-06-11 |
| 1306130828 | Edwin Arnoldo Gamboa | Speech-Language Pathologist | 2760 Dora Ave, Tavares, FL 32778 | 2011-06-01 |
| 1679701254 | Stephanie Zamor Gabriel | Counselor | 2760 Dora Ave, Tavares, FL 32778 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| 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 |
|---|---|---|---|---|
| 1023382777 | Bret Eugene Williams | Occupational Therapy Assistant | 27851 Lois Dr, Tavares, FL 32778-9611 | 2012-02-28 |
| 1407175953 | Astride Saint-fleur | Occupational Therapy Assistant | 2760 Dora Ave., Tavares, FL 32778 | 2010-05-24 |
| 1558689083 | Quaterian T. Wade | Occupational Therapy Assistant | 2760 Dora Avenue, Tavares, FL 32778 | 2010-05-07 |
| 1801414131 | Ariella Mendoza | Occupational Therapy Assistant | 2760 Dora Ave, Tavares, FL 32778-4970 | 2020-07-13 |
| 1083107189 | Teresa Stahl | Occupational Therapy Assistant | 4501 Waterman Way, Tavares, FL 32778 | 2018-06-13 |
| 1124519921 | Lunel Jeffree Marasigan | Occupational Therapy Assistant | 4501 Waterman Way, Tavares, FL 32778 | 2018-05-29 |
| 1861896219 | Step By Step Therapy, Inc | Occupational Therapy Assistant | 2760 Dora Ave, Tavares, FL 32778-4970 | 2014-10-14 |
| 1205144276 | Lindsey M Philip | Occupational Therapy Assistant | 2760 Dora Ave., Tavares, FL 32778 | 2010-09-23 |
| 1457672362 | Tamika S. Bolden | Occupational Therapy Assistant | 2760 Dora Ave., Tavares, FL 32778 | 2010-06-15 |
| 1619208857 | Elizabeth Pabon-hall | Occupational Therapy Assistant | 2762 Dora Ave, Tavares, FL 32778-4970 | 2010-01-28 |
| Find all providers in TAVARES | ||||
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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.