AMANDA ELLISHA KEASTER (NPI# 1184732752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184732752 |
| Entity Type | Individual |
| Full Name | AMANDA ELLISHA KEASTER |
| Credential | OTR/L |
| Practice Address |
1301 Russell Rd Russellville AR 72802-4320 |
| Mailing Address |
71 Salmon Ln Russellville AR 72802-2186 |
| Practice Telephone | 4799672322 |
| Practice Fax Number | 4799672876 |
| Mailing Telephone | 4798909192 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR2066 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5A030 | 01 |
| AR | HEALTHLINK | 662725 | 01 |
| AR | 162765721 | 05 |
| Street Address |
1301 RUSSELL RD |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72802-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452976 | Elizabeth Witt | Occupational Therapy Assistant | 1301 Russell Rd, Russellville, AR 72802-4320 | 2020-06-18 |
| 1306480645 | Kristen Johnston | Developmental Therapist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2019-10-30 |
| 1538723911 | Casi Shadowens | Occupational Therapy Assistant | 1301 Russell Rd, Russellville, AR 72802-4320 | 2019-05-01 |
| 1639637663 | Leanna Hoffpauir | Occupational Therapy Assistant | 1301 Russell Rd, Russellville, AR 72802-4320 | 2019-03-08 |
| 1619483229 | Jennifer Metz | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-19 |
| 1285149203 | Sonya Roach | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-13 |
| 1154836161 | Kimberly Fountain | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-12-13 |
| 1013420488 | Melia Johnsgard | Day Training/Habilitation Specialist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2017-11-08 |
| 1972952257 | Sara Tingle | Speech-Language Pathologist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2016-06-08 |
| 1336518372 | Brittany Paladino | Occupational Therapist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2015-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1992034763 | Central Arkansas Surgical Center, LLC | Clinic/Center | 151 East Aspen Ln, Russellville, AR 72802 | 2009-12-08 |
| 1134302854 | Twin Rivers Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 1400 S Knoxville Ave, Russellville, AR 72802 | 2007-12-17 |
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1609902295 | Debi C Day Damron Burns | Case Manager/Care Coordinator | 1402 East 16th St, Russellville, AR 72802 | 2007-02-26 |
| Find all providers in zip 72802 | ||||
| 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 |
|---|---|---|---|---|
| 1477015162 | Jeremy Nordman | Occupational Therapist | 95 Walthall Rd, Russellville, AR 72802-8707 | 2019-04-02 |
| 1033501861 | Kaitlyn Stewart | Occupational Therapist | 1172 County Road 131, Russellville, AL 35654-3415 | 2015-03-03 |
| 1437464450 | Kellie D Talbert | Occupational Therapist | 306 E 11th St, Russellville, AR 72801-6156 | 2010-08-13 |
| 1801362066 | Rachel Elizabeth Abreu | Occupational Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2018-10-15 |
| 1447726609 | Stephanie Lee Pearson | Occupational Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2018-10-15 |
| 1316413545 | Kyle Michael Jones | Occupational Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2018-10-15 |
| 1407355654 | Alyssa Leigh Bradley | Occupational Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2018-02-02 |
| 1225547516 | Julian Wade Ivy | Occupational Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2017-09-29 |
| 1942726070 | Leanna Rose Reid | Occupational Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2017-08-21 |
| 1669924155 | Haley Barry | Occupational Therapist | 1915 W Main St, Russellville, AR 72801-2725 | 2016-10-31 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
Please comment or provide details below to improve the information on AMANDA ELLISHA KEASTER.
| 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.