MITAN PEDIATRIC THERAPY INC (NPI# 1184704900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184704900 |
| Entity Type | Organization |
| Organization Name | MITAN PEDIATRIC THERAPY INC |
| Practice Address |
891 Meadowview Lane Columbia IL 62236 |
| Practice Telephone | 6188068461 |
| Mailing Telephone | 6188068461 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBIN MITAN (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 6188068461 |
| Authorized Official Credential | OT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 2000155595 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7058311 | 01 | |
| BLUE CROSS BLUE SHIELD OF | 06732018 | 01 |
| Street Address |
891 MEADOWVIEW LANE |
| City | COLUMBIA |
| State | IL |
| Zip Code | 62236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700966520 | Robin Mitan | Occupational Therapist | 891 Meadowview Lane, Columbia, IL 62236 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962937300 | Assoicated Physicians Group Ltd | Nurse Practitioner | 1011 South, Suite 3b, Columbia, IL 62236 | 2017-04-24 |
| 1316284854 | Robert Siekerka | Pharmacist | 1412 N Evergreen Ln, Columbia, IL 62236 | 2013-01-03 |
| 1972874352 | Jennifer Harlin Wilhelm | Veterinarian | 1400 Columbia Center Drive, Bellson Animal Hospital, Columbia, IL 62236 | 2012-01-18 |
| 1912275314 | Synergy Therapeutics, PC | Dentist | 1000 Eleven South, Suite 3f, Columbia, IL 62236 | 2011-12-13 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1831311158 | Lifetime Dental Care of Illinois, PC | Dentist | 240 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1730301268 | Affordable Dentistry Today, PC | Dentist | 242 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1710109616 | Jason Clay King | Chiropractor | 117 West Cedar Street, Columbia, IL 62236 | 2007-05-02 |
| 1265528368 | Kathryn Ann Mager | Counselor | 9273 Coach Stop Road, Columbia, IL 62236 | 2006-10-05 |
| 1144320086 | Family Medicine In Columbia | Family Medicine | 123 Wedgewood Dr, Columbia, IL 62236 | 2006-09-22 |
| Find all providers in zip 62236 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385243 | Brittain Harris | Occupational Therapist | 1710 Richland St # B, Columbia, SC 29201-2636 | 2020-10-26 |
| 1003414517 | Tracy Gornowski | Occupational Therapist | 5312 Chase Lions Way, Columbia, MD 21044-5596 | 2020-10-16 |
| 1629686084 | Kara Leigh Jordan | Occupational Therapist | 8513 Wild Wing Way, Columbia, MD 21045-2608 | 2020-07-21 |
| 1255950374 | Mikayla Kemmerly Kemmerly | Occupational Therapist | 621 S 14th St, Columbia, PA 17512-1914 | 2020-04-09 |
| 1073159232 | Brianna Kim | Occupational Therapist | 104 Granada Blvd Apt A, Columbia, MO 65203-3097 | 2019-11-22 |
| 1275195745 | Emily Arndts | Occupational Therapist | 9730 Patuxent Woods Dr Ste 100, Columbia, MD 21046-1626 | 2019-07-03 |
| 1306317664 | Maya Green | Occupational Therapist | 6257 Golden Coin Ct, Columbia, MD 21045-4450 | 2018-12-16 |
| 1477032274 | Early Wonders Pediatrics, LLC | Occupational Therapist | 406 Terry Drive, Columbia, IL 62236-1551 | 2018-08-13 |
| 1417433764 | Lauren Sanders | Occupational Therapist | 7216 Procopio Cir, Columbia, MD 21046-1642 | 2018-07-18 |
| 1912492190 | Gabriel O. John | Occupational Therapist | 7217 Carved Stone, Columbia, MD 21045-5249 | 2018-06-29 |
| Find all providers in COLUMBIA | ||||
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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.