COLLEEN JIMENEZ (NPI# 1174631220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174631220 |
| Entity Type | Individual |
| Full Name | COLLEEN JIMENEZ |
| Practice Address |
4065 N 35th Street Milwaukee WI 53216 |
| Mailing Address |
7916 N Link Pl Milwaukee WI 53223 |
| Practice Telephone | 4144459180 |
| Practice Fax Number | 4144455995 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 368027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 4065100 | 05 |
| Street Address |
4065 N 35TH STREET |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245333681 | Vicki L Durecki | Occupational Therapy Assistant | 4065 N 35th Street, Milwaukee, WI 53216 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| 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 |
|---|---|---|---|---|
| 1639781784 | Chang Herr | Occupational Therapy Assistant | 6824 N Burbank Ave, Milwaukee, WI 53224-4844 | 2020-08-19 |
| 1649761412 | Josephine Stache I | Occupational Therapy Assistant | 3136 S 95th St, Milwaukee, WI 53227-4323 | 2018-05-28 |
| 1023526910 | Peggy E Caufield | Occupational Therapy Assistant | 2753 N Weil St Lowr, Milwaukee, WI 53212-2617 | 2018-01-14 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1720598493 | Alysia Ferreira | Occupational Therapy Assistant | 2823 N 90th St, Milwaukee, WI 53222-4610 | 2017-10-06 |
| 1053820159 | Ciara Lynn Jaskolski | Occupational Therapy Assistant | 8534 West Mill Road, Milwaukee, WI 53225-1934 | 2017-09-21 |
| 1558815951 | Lisa E. Dudzinske | Occupational Therapy Assistant | 2801 W Kinnickinnic River Pkwy Ste 160, Milwaukee, WI 53215-3699 | 2016-08-15 |
| 1003274697 | Our Space, Inc. | Occupational Therapy Assistant | 1527 W National Ave, Milwaukee, WI 53204-2141 | 2016-02-10 |
| 1104223171 | Renee Leann Becht | Occupational Therapy Assistant | 4141 N 63rd Street, Milwaukee, WI 53216 | 2014-11-19 |
| 1710393509 | Danijela Budesa | Occupational Therapy Assistant | 4175 S 51st St, Apt#3, Milwaukee, WI 53220-3229 | 2014-07-01 |
| Find all providers in MILWAUKEE | ||||
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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.