JESSICA A DIVINE (NPI# 1154605186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154605186 |
| Entity Type | Individual |
| Full Name | JESSICA A DIVINE |
| Practice Address |
1800 Penn St Ste 12 Melbourne FL 32901-2643 |
| Practice Telephone | 3217686800 |
| Practice Fax Number | 3217686858 |
| Mailing Telephone | 3217686800 |
| Mailing Fax Number | 3217686858 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA11802 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1800 PENN ST STE 12 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134345358 | Wendy Potter | Counselor | 1800 Penn St, Suite 12, Melbourne, FL 32901-2625 | 2007-04-17 |
| 1386103091 | Taylor Cox | Occupational Therapist | 1800 Penn St, Melbourne, FL 32901-2643 | 2019-03-13 |
| 1619344801 | Eliel Barrial | Occupational Therapist | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2015-08-24 |
| 1366850562 | Angela Gorczynski | Speech-Language Pathologist | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2014-07-31 |
| 1316381577 | Melissa Michelle Conti | Occupational Therapist | 1800 Penn St, Suite 12, Melbourne, FL 32901 | 2013-04-18 |
| 1114361375 | Brianna K Owen | Occupational Therapy Assistant | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2013-04-18 |
| 1548528664 | Emily Sopczynski | Occupational Therapist | 1800 Penn St, Suite #12, Melbourne, FL 32901-2643 | 2012-04-26 |
| 1114297686 | Jeffrey A Mckinsey | Occupational Therapy Assistant | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2011-12-30 |
| 1902180938 | Danielle M Tapley | Occupational Therapy Assistant | 1800 Penn St, Suite 12, Melbourne, FL 32901-2643 | 2011-10-10 |
| 1215218912 | Amber Banfield | Occupational Therapy Assistant | 1800 Penn St, Ste #12, Melbourne, FL 32901-2643 | 2011-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1871108340 | Kimmichael Bolognini | Occupational Therapy Assistant | 2793 Kingsmill Ave, Melbourne, FL 32934-7582 | 2020-09-11 |
| 1477192391 | Andrew Sulser | Occupational Therapy Assistant | 5003 Indigo Way, Melbourne, FL 32940-1443 | 2019-12-23 |
| 1083182075 | Natalie Christine Zilli | Occupational Therapy Assistant | 4241 N Us Highway 1, Melbourne, FL 32935-4822 | 2018-11-07 |
| 1710452842 | Shantrell Clayton | Occupational Therapy Assistant | 2154 Cedarwood Dr, Melbourne, FL 32935-6000 | 2018-10-04 |
| 1093292088 | Natalie Harris | Occupational Therapy Assistant | 4335 Milwaukee Ave, Melbourne, FL 32904-6140 | 2018-07-23 |
| 1346736980 | Michelle Mohr | Occupational Therapy Assistant | 1480 Autumn Woods Dr, Melbourne, FL 32935-5344 | 2018-07-06 |
| 1407341365 | Mona-liza Snyder | Occupational Therapy Assistant | 1300 Corbett Ln, Melbourne, FL 32904-6435 | 2018-06-24 |
| 1821534108 | Tina A. Wills | Occupational Therapy Assistant | 347 Myrtlewood Rd, Melbourne, FL 32940-7768 | 2017-01-11 |
| 1336590918 | Alejandra Reyes | Occupational Therapy Assistant | 115 Crown Blvd, Melbourne, FL 32901-8624 | 2016-06-25 |
| 1700231966 | Kerri Hanger | Occupational Therapy Assistant | 715 Clarke Ave, Melbourne, FL 32935-3022 | 2016-04-25 |
| Find all providers in MELBOURNE | ||||
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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.