GAYLE JOLEEN FOTHERGILL (NPI# 1184882680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184882680 |
| Entity Type | Individual |
| Full Name | GAYLE JOLEEN FOTHERGILL |
| Credential | COTA/L |
| Practice Address |
500 W Aqua Ave Coeur D Alene ID 83815-7764 |
| Practice Telephone | 2087621122 |
| Practice Fax Number | 2087621680 |
| Mailing Telephone | 2087621122 |
| Mailing Fax Number | 2087621680 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA-009 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 W AQUA AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-7764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679530513 | Sharon Anne Cunningham | Physical Therapy Assistant | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2006-04-26 |
| 1427482116 | Inmotion Imaging LLC | Speech-Language Pathologist | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2013-08-29 |
| 1215195714 | Hailey Olsen | Physical Therapy Assistant | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-30 |
| 1306004825 | Megan Marie Maney | Physical Therapist | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-30 |
| 1275791824 | Neil Norman Meyer | Speech-Language Pathologist | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-30 |
| 1427216928 | Mary A Kodak | Physical Therapy Assistant | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-30 |
| 1265690846 | Oksana Svidersky | Physical Therapist | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-30 |
| 1710145206 | Lucinda L Avriett | Occupational Therapist | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-30 |
| 1407014079 | Janelle K Jaszczak | Physical Therapist | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-29 |
| 1104084789 | Janethe Ladisla Reilly | Physical Therapist | 500 W Aqua Ave, Coeur D Alene, ID 83815-7764 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| Find all providers in zip 83815 | ||||
| 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 |
|---|---|---|---|---|
| 1407261332 | Jimmy Louis Burkhard | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-06-30 |
| 1396167193 | Sharon Bartlett | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2014-01-13 |
| 1033547286 | Jean Vergilio | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-10-25 |
| 1841628112 | Gary Rossberg | Occupational Therapy Assistant | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2013-10-24 |
| 1215361985 | Matthew Christopher Borton | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2013-08-29 |
| 1144429150 | Cynthia Ann James | Occupational Therapy Assistant | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2007-07-11 |
| 1093913956 | Shawna Rossberg | Occupational Therapy Assistant | 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610 | 2007-07-03 |
| 1215134580 | Tara Goodwin | Occupational Therapy Assistant | 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784648 | Alyssa Mabey | Occupational Therapy Assistant | 659 Fairway Dr, Pocatello, ID 83201-2049 | 2020-09-15 |
| 1861028151 | Marissa Montamat | Occupational Therapy Assistant | 3550 W Americana Ter, Boise, ID 83706-4728 | 2020-03-18 |
| 1952802860 | Iris Marie Conrad | Occupational Therapy Assistant | 35 Dogwood Ln, Salmon, ID 83467-5083 | 2018-02-26 |
| 1992236988 | Katie Chase | Occupational Therapy Assistant | 1410 S Broadway Ave, Boise, ID 83706-3706 | 2017-03-22 |
| 1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
| 1245788959 | Susan Pahlas | Occupational Therapy Assistant | 489 Sw 7th Ave, Meridian, ID 83642-2809 | 2016-09-12 |
| 1679924435 | Chong Lucey | Occupational Therapy Assistant | 11892 W Clover Meadows Dr, Boise, ID 83713-6608 | 2016-06-23 |
| 1851761209 | Marissa Redding | Occupational Therapy Assistant | 8051b Eichenlaub Ct, Mountain Home Afb, ID 83648-1094 | 2015-09-29 |
| 1982085262 | Peaks To Plains Therapy Services, Pa | Occupational Therapy Assistant | 165 Front St, Driggs, ID 83422-5445 | 2015-06-12 |
| 1679964977 | Idris Jamal Shelby | Occupational Therapy Assistant | 2681 Sagebrush Dr, Twin Falls, ID 83301-7559 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83815 |
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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.