CAMILLE FAGAN


Address: 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209
Phone: 8664339555

CAMILLE FAGAN (NPI# 1164084455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164084455
Entity Type Individual
Full Name CAMILLE FAGAN
Practice Address 11960 Westline Industrial Dr Ste 201
Saint Louis
MO 63146-3209
Mailing Address 231 Nancy Pl
Ballwin
MO 63021-4805
Practice Telephone 8664339555
Mailing Telephone 3144469041
Enumeration Date 2019-07-08
Last Update Date 2020-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 11960 WESTLINE INDUSTRIAL DR STE 201
City SAINT LOUIS
State MO
Zip Code 63146-3209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225075831 Richard Nicholas Huelsing Physical Therapist 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2006-06-01
1912511411 Virginia Louise Easter Behavioral Analyst 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2020-09-02
1134747371 Allison Ann Althoff Speech-Language Pathologist 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2020-07-13
1306470257 Latoya Stephens Respiratory Therapist, Registered 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2020-03-01
1700430881 Abbey Jane Hill Occupational Therapy Assistant 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2019-07-28
1972155240 Haley Rose Occupational Therapist 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2019-07-16
1669024386 Kelsey Cristina Kennedy Speech-Language Pathologist 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2019-07-12
1326606336 Meredith Stockmann Occupational Therapist 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2019-06-04
1578129672 Glynis Renee Scales Respiratory Therapist, Certified 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2019-05-14
1154884369 Alexandra Harris Speech-Language Pathologist 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 2019-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316553118 Chelsea Ann Garbs Nurse Practitioner 1249 Woodland Point Dr Unit E, St. Louis, MO 63146 2020-09-17
1538790647 Supreme Quality Care LLC Home Health 111 West Port Plaza, Floor 6, Maryland Heights, MO 63146 2020-01-28
1942854492 Winning Hands Home Health Care Services LLC In Home Supportive Care 12738 Fee Fee Rd, Saint Louis, MO 63146 2019-08-01
1144883893 Tylians T Smith Physical Therapy Assistant 12544 Fee Fee Rd, Saint Louis, MO 63146 2019-04-18
1528533049 Veterans Home Care, LLC Durable Medical Equipment & Medical Supplies 11861 Westline Industrial Drive, Suite 750, St. Louis, MO 63146 2018-10-11
1417433558 Alexandria Marie Falck Pharmacist 577 Mid Rivers Mall Drive, Saint Louis, MO 63146 2018-07-12
1043702897 Equal Shares Parenting, LLC Marriage & Family Therapist 10313 Corbeil Dr., Unit D, St. Louis, MO 63146 2018-06-06
1588189930 Anita Shawke Physical Therapist 11960 Westline Industrial Drive, Suite 201, St. Louis, MO 63146 2017-08-07
1174047005 Midwest Spine & Injury Centers, Inc. Chiropractor 2108 Schuetz Road, Maryland Heights, MO 63146 2017-08-02
1447700604 Compassus Op of Missouri LLC Hospice Care, Community Based 11872 Westline Industrial Dr Ste 160, Saint Louis, MO 63146 2016-10-11
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700418639 Mary K Mccarthy Occupational Therapist 225 S Meramec Ave Ste 412, Saint Louis, MO 63105-3669 2020-02-08
1942767959 Allison Kathleen Miller Occupational Therapist 10332 Old Olive Street Rd Unit 100, Saint Louis, MO 63141-5922 2019-02-26
1881103653 Sarah Ann Dugan Occupational Therapist 6647 Washington Ave, Saint Louis, MO 63130-4517 2017-09-25
1063816320 Bridget Mary Hormberg Occupational Therapist 567 N and South Rd Apt C, Saint Louis, MO 63130-3939 2014-10-15
1801148994 Amy Stoyanov Occupational Therapist 1 Childrens Pl Ste 4e2, Saint Louis, MO 63110-1002 2012-10-12
1396044186 Kristin Cassidy Occupational Therapist 11660 Eddie and Park Rd, Saint Louis, MO 63126 2011-03-21
1326288929 Erica J Fahrner Occupational Therapist 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 2009-02-23
1760679955 Theresa Ann Dore Occupational Therapist 5041 Waterman Blvd, Apt. 108, Saint Louis, MO 63108-1164 2007-10-01
1154536670 Catherine Genetti Occupational Therapist 8819 Lawn Ave, Saint Louis, MO 63144-1705 2007-05-10
1609910280 Lisa Gerard Faulise Occupational Therapist 1245 Boland Pl, Saint Louis, MO 63117-1459 2007-02-16
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Competitor

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City SAINT LOUIS
Zip Code 63146

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Dataset Information

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.

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