MRS. LYNNETTE LATRICE PICKETT (NPI# 1134594179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134594179 |
| Entity Type | Individual |
| Full Name | MRS. LYNNETTE LATRICE PICKETT |
| Other Name | MRS. LYNNETTE LATRICE AYERS |
| Practice Address |
4419 Marquette Dr Fort Wayne IN 46806-4623 |
| Practice Telephone | 2605804954 |
| Mailing Telephone | 2605804954 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 32001668A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4419 MARQUETTE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46806-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841574829 | Daniel E Purvis Jr. | Pharmacist | 222 E Pettit Avenue, Fort Wayne, IN 46806 | 2011-10-07 |
| 1558645754 | Logan M Franke | Pharmacist | 222 E Pettit Ave, Fort Wayne, IN 46806 | 2011-10-06 |
| 1356513725 | Seazoned Med Transportation Service | Non-emergency Medical Transport (VAN) | 2809 Smith Street, Fort Wayne, IN 46806 | 2008-03-26 |
| 1376711267 | Hector F Perez Md PC | Family Medicine | 5717 So Anthony, Ste 500, Fort Wayne, IN 46806 | 2008-02-14 |
| 1326249376 | Purdue University | Dentist | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-05-29 |
| 1174657480 | Robert Anthony Ford | Case Manager/Care Coordinator | 525 Oxford St., Fort Wayne, IN 46806 | 2007-03-16 |
| 1508069972 | Indiana University | Clinic/Center | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-06-06 |
| 1669622403 | Sally J Hartman | Nurse Practitioner | 2700 S Lafayette St, Suite 200, Fort Wayne, IN 46806-1100 | 2008-09-30 |
| 1003099441 | Lafayette Foot and Ankle Clinic | Podiatrist | 2700 Lafayette St Ste 230, Fort Wayne, IN 46806-1100 | 2007-12-07 |
| 1033259197 | V E Butler and Associates PC | Pharmacist | 2700 S. Lafayette St, Communitycare Pharmacy, Fort Wayne, IN 46806-1100 | 2007-02-07 |
| Find all providers in zip 46806 | ||||
| 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 |
|---|---|---|---|---|
| 1609491414 | Kerry Herndon | Occupational Therapy Assistant | 3715 Union Chapel Rd, Fort Wayne, IN 46845-7400 | 2020-06-08 |
| 1588121552 | Danelle Hair | Occupational Therapy Assistant | 12909 Arcola Rd, Fort Wayne, IN 46818-9726 | 2019-02-26 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1548626740 | Sheila Faye Lefevra | Occupational Therapy Assistant | 2515 Hubertus Ave, Fort Wayne, IN 46805-3722 | 2016-01-05 |
| 1528430576 | Brittany Morel | Occupational Therapy Assistant | 1345 Ashley Ave, Fort Wayne, IN 46825-3205 | 2015-10-28 |
| 1992174098 | Justin Eutsler | Occupational Therapy Assistant | 4814 W Wallen Rd, Fort Wayne, IN 46818-9407 | 2015-09-18 |
| 1063801348 | Jami Long | Occupational Therapy Assistant | 4180 Sage Bluff Crossin, Fort Wayne, IN 46804 | 2015-01-09 |
| 1083012785 | Joshua Entenman | Occupational Therapy Assistant | 5531 Hopkinton Dr, Fort Wayne, IN 46814-7542 | 2014-12-11 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1396161766 | Samantha Jane Clark-teague | Occupational Therapy Assistant | 5902 Hinsdale Ln, Fort Wayne, IN 46835-1237 | 2014-03-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46806 |
Please comment or provide details below to improve the information on MRS. LYNNETTE LATRICE PICKETT.
| 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.