ALICIA COOLBAUGH (NPI# 1194123109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194123109 |
| Entity Type | Individual |
| Full Name | ALICIA COOLBAUGH |
| Credential | MS,OTR/L |
| Practice Address |
401 Penn Ave Scranton PA 18503-1213 |
| Mailing Address |
506 Old Mill Rd Dallas PA 18612-7721 |
| Practice Telephone | 5709614300 |
| Mailing Telephone | 5705406533 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC012384 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
401 PENN AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18503-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497734925 | Department of Military Commonwealth of Pennsylvania | Military Hospital | 401 Penn Ave, Scranton, PA 18503 | 2006-01-12 |
| 1962969535 | Kelsey Fay Williams | Physical Therapist | 401 Penn Ave, Scranton, PA 18503-1213 | 2019-03-01 |
| 1245718774 | Angela Jane Parry | Physical Therapist | 401 Penn Ave, Scranton, PA 18503-1213 | 2018-08-06 |
| 1124505516 | Jennifer Mitchell | Occupational Therapist | 401 Penn Ave, Scranton, PA 18503-1213 | 2018-07-27 |
| 1083093215 | Cassandra Michaylo | Speech-Language Pathologist | 401 Penn Ave, Scranton, PA 18503-1213 | 2015-05-20 |
| 1245638147 | Amanda Lynn Borick | Long Term Care Hospital | 401 Penn Ave, Scranton, PA 18503-1213 | 2014-12-09 |
| 1447657770 | Elizabeth Helen Ameigh | Military Health Care Provider | 401 Penn Ave, Scranton, PA 18503-1213 | 2014-12-02 |
| 1104181189 | Department of Military Affairs Commonwealth of Pennsylvania | Pharmacy | 401 Penn Ave, Scranton, PA 18503-1213 | 2012-07-06 |
| 1912140369 | Candice Lee Bustos | Physical Therapist | 401 Penn Ave, Scranton, PA 18503-1213 | 2009-04-15 |
| 1639312390 | Cory Gerard Rubino | Occupational Therapist | 401 Penn Ave, Scranton, PA 18503-1213 | 2009-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578124624 | Vishwadhipa Venkata Voore | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Grad, Suite 1, Scranton, PA 18503 | 2019-06-27 |
| 1841859717 | Sreekant Avula | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Gra, Suite 1, Scranton, PA 18503 | 2019-06-13 |
| 1942866124 | Kashyap Devendrabhai Kela | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center, Suite 1, Scranton, PA 18503 | 2019-05-14 |
| 1265097778 | Mary Ann Sheerer | Registered Nurse | Geisinger Women's Health Obgyn Clinic, 531 Mount Pleasant Drive, 2nd Floor, Scranton, PA 18503 | 2019-05-09 |
| 1164913950 | Nirajan Regmi | Student in an Organized Health Care Education/Training Program | 111 N Washington Avenue, Scranton, PA 18503 | 2018-05-29 |
| 1801387394 | Talha Zain Tariq | Internal Medicine | 111 N Washington Ave., Scranton, PA 18503 | 2018-05-21 |
| 1013407253 | Ashwin Thatti | Student in an Organized Health Care Education/Training Program | 111 N. Washington Avenue, Scranton, PA 18503 | 2018-05-14 |
| 1972093474 | Anjalika Gupta | Student in an Organized Health Care Education/Training Program | The Wright Center for Graduate Medical Education, 111 N Washington Ave, Scranton, PA 18503 | 2018-05-10 |
| 1073002085 | Mousa Thalji | Student in an Organized Health Care Education/Training Program | 111 N. Washington Ave., Scranton, PA 18503 | 2018-05-04 |
| 1861999849 | Tomara Wilding | Counselor | 201 Lackawanna Ave Ste 302, Scranton, PA 18503 | 2018-04-06 |
| Find all providers in zip 18503 | ||||
| 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 |
|---|---|---|---|---|
| 1700492071 | Heather Barletta | Occupational Therapist | 1315 Blucher Ave, Scranton, PA 18505-3903 | 2020-09-21 |
| 1811513054 | Kimberly Lynn Emick | Occupational Therapist | 1547 Dickens St, Scranton, PA 18504-1209 | 2020-06-23 |
| 1811448749 | Emily Nehus | Occupational Therapist | 5532 E State Highway 197, Scranton, AR 72863-9032 | 2016-10-14 |
| 1578926259 | David B Brock | Occupational Therapist | 220 N Main Ave, Scranton, PA 18504-3304 | 2016-03-31 |
| 1518390392 | Stephen George Svetovich | Occupational Therapist | 706 Parrott Ave, Scranton, PA 18504-2148 | 2013-08-15 |
| 1457602963 | Dana Pezzuti | Occupational Therapist | 100 Linwood Dr, Scranton, PA 18505-2868 | 2012-09-24 |
| 1578813739 | Heather Ann Bradley | Occupational Therapist | 312 North Washington Avenue, Scranton, PA 18503 | 2012-09-14 |
| 1912272261 | Shannon Ritterbusch | Occupational Therapist | 1252 Rundle, Scranton, PA 18504 | 2012-03-20 |
| 1508169574 | John Michael Bindo | Occupational Therapist | 1101 Vine Street, Scranton, PA 18510-2193 | 2010-12-14 |
| 1942491766 | Marian Goldstein-beckhorn | Occupational Therapist | 202 Watres Dr, Scranton, PA 18505-2230 | 2007-08-06 |
| Find all providers in SCRANTON | ||||
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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.