MRS. TERESA ANN CARBONE (NPI# 1154832269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154832269 |
| Entity Type | Individual |
| Full Name | MRS. TERESA ANN CARBONE |
| Credential | COTA/L |
| Practice Address |
415 4th St N Fargo ND 58102-4514 |
| Practice Telephone | 7014461014 |
| Practice Fax Number | 7014461014 |
| Mailing Telephone | 7014461014 |
| Mailing Fax Number | 7014461014 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
415 4TH ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477570497 | Fargo Public Schools | Speech-Language Pathologist | 415 4th St N, Fargo, ND 58102-4514 | 2006-07-16 |
| 1851806764 | Gregory Joseph Pawlik | Occupational Therapy Assistant | 415 4th St N, Fargo, ND 58102-4514 | 2017-12-14 |
| 1669981502 | Eileen Bachmeier | Occupational Therapy Assistant | 415 4th St N, Fargo, ND 58102-4514 | 2017-09-22 |
| 1881116945 | Hilary Jean Zinke | Speech-Language Pathologist | 415 4th St N, Fargo Public Schools, Fargo, ND 58102 | 2017-07-11 |
| 1659814184 | Marina Culver | Speech-Language Pathologist | 415 4th St N, Fargo, ND 58102-4514 | 2016-12-01 |
| 1942751037 | Katelyn Eidenschink | Speech-Language Pathologist | 415 4th St N, Fargo, ND 58102-4514 | 2016-10-24 |
| 1073985966 | Stacey Pfaff | Speech-Language Pathologist | 415 4th St N, Fargo, ND 58102-4514 | 2015-10-30 |
| 1184026718 | Megan Long | Occupational Therapist | 415 4th St N, Fargo, ND 58102-4514 | 2014-09-26 |
| 1952735060 | Andrea Holloway | Occupational Therapist | 415 4th St N, Fargo, ND 58102-4514 | 2013-08-26 |
| 1689948663 | Becky Ann Benson | Speech-Language Pathologist | 415 4th St N, Fargo, ND 58102-4514 | 2012-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| 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 |
|---|---|---|---|---|
| 1891274890 | Nicholas David Schulz | Occupational Therapy Assistant | 3256 18th St S Apt 207, Fargo, ND 58104-6578 | 2018-08-09 |
| 1255734422 | Leann Marie Montgomery | Occupational Therapy Assistant | 1721 27th Ave S, Fargo, ND 58103-5504 | 2014-10-02 |
| 1487099073 | Alyssa Bakken | Occupational Therapy Assistant | 2801 9th St N, Fargo, ND 58102-1350 | 2013-05-08 |
| 1932417938 | Lauren Erica Foss | Occupational Therapy Assistant | 911 19th Ave S, Fargo, ND 58103-4928 | 2010-09-24 |
| 1114565207 | Kayla Dease | Occupational Therapy Assistant | 3401 45th St S, Fargo, ND 58104-8970 | 2019-12-19 |
| 1366083404 | Amanda Watne | Occupational Therapy Assistant | 415 4th St. N. Fargo Public Schools, Fargo, ND 58102 | 2019-09-30 |
| 1053969881 | Jamie Hansen | Occupational Therapy Assistant | 3401 45th St S Ste A, Fargo, ND 58104-8970 | 2019-08-26 |
| 1962056838 | Jennifer Parsons | Occupational Therapy Assistant | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2019-07-30 |
| 1366947822 | Alexandria Beth Haas | Occupational Therapy Assistant | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2018-03-27 |
| 1740797471 | Brooke Tayer | Occupational Therapy Assistant | 1305 9th Ave S, Fargo, ND 58103 | 2018-01-03 |
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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.